Active NPI
Jessica Vanderkwaak, CRNA
- Certified Registered Nurse Anesthetist
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0992119
- Practice address
- 1400 Jackson St
Denver, CO 80206-2762 - Phone
- (303) 388-4461
- Fax
- (303) 398-1211
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0185818 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0185818 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 0992119 | CO | Primary |
Addresses
Primary practice location
1400 Jackson St
Denver, CO 80206-2762
Mailing address
1040 Harrison St
Denver, CO 80206-3517
Phone (720) 883-8466
Other practice location 1
11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11650 W 2ND PL
CMG Anesthesia Orthocolorado
Lakewood, CO 80228-1527
Phone (720) 321-5160
1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355
Hospital & facility affiliations
- National Jewish Health
- Orthocolorado Hosp at St Anthony Med Campus
- Centura Health-St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 69.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.17
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.04 of 100
- Quality
- 48.8
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 66.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0992119 | CO | MD | Certified Registered Nurse Anesthetist |
| 0185818 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Jewish Health | Current | Accepting new patients | |
| Colorado Pain Practice, PLLC | Current | Accepting new patients | |
| Denver Digestive Health Specialists Inc | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Colorado Pain Practice, PLLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Colorado Gastroenterology Prof LLC | Past | Accepting new patients |
Locations
14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175
1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461
4500 E 9th Ave
Ste 720S
Denver, CO 80220
Phone (303) 355-3525
2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444
8155 E 1st Ave
Denver, CO 80230
Phone (303) 344-4844
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246
11650 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-5160
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553
1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083
9191 Grant St
Thornton, CO 80229
Phone (303) 246-5003
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
13051 University Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 590-6111
Organizations & group practices 10
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
- General Acute Care Hospital
- Denver, CO
- NPI 1326015777
-
- Pain Medicine (Anesthesiology) Physician
- Lakewood, CO
- NPI 1508285776
-
- Gastroenterology Physician
- Denver, CO
- NPI 1447278981
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
CO, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Berthoud, CO
- NPI 1144831025
-
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
- Pain Medicine (Anesthesiology) Physician
- Castle Rock, CO
- NPI 1568147270
-
- Gastroenterology Physician
- Denver, CO
- NPI 1396790101
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Denver, CO
- NPI 1326015777
-
- Special Hospital
- Lakewood, CO
- NPI 1306176839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1154792638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 HARRISON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802063517",
"telephone_number": "720-883-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 JACKSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802062762",
"telephone_number": "303-388-4461",
"fax_number": "303-398-1211"
}
],
"practiceLocations": [
{
"address_1": "11600 W 2nd Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802281527",
"country_code": "US",
"telephone_number": "720-321-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERKWAAK",
"first_name": "JESSICA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "0185818",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "0185818",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "0992119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.