NPIMap

Individual provider Active NPI

Jennifer Harrison, FNP, BS, BSN, RN

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1154735827
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991274 Issued in CO
Practice address
3744 S Timberline Rd Ste 102
Fort Collins, CO 80525-4334
Phone
(970) 495-0506
Fax
(970) 049-5048
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0991274 CO Primary

Addresses

Primary practice location

3744 S Timberline Rd Ste 102
Fort Collins, CO 80525-4334

Mailing address

3744 S Timberline Rd Ste 102
Fort Collins, CO 80525-4334
Phone (970) 495-0506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000095 CO Practitioner - Nurse Practitioner 0941428015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

3744 S Timberline Rd
Suite 102 Uchealth Paint Managemt Clin Ft C
Fort Collins, CO 80525-4334
Phone (970) 495-0506

Hospital & facility affiliations

  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0991274COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 1, 2020 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. PastSince Sep 20, 2020 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

3744 S Timberline Rd
Ste 102
Fort Collins, CO 80525
Phone 970495050613

6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

2500 Rocky Mountain Ave
Ste 2200
Loveland, CO 80538
Phone (970) 203-7250

1605 Foxtrail Dr
Unit 100
Loveland, CO 80538
Phone (970) 674-6514

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1605 Foxtrail Dr
Loveland, CO 80538
Phone (970) 460-0066

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1154735827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254334",
            "telephone_number": "970-495-0506",
            "fax_number": "970-495-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 S TIMBERLINE RD STE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254334",
            "telephone_number": "970-495-0506",
            "fax_number": "970-049-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JENNIFER",
        "credential": "FNP, BS, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.