Individual provider Active NPI

Jessica Vanderkwaak, CRNA

  • Certified Registered Nurse Anesthetist
  • Denver, CO
National Provider Identifier
1154792638
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0992119 Issued in CO
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160216002731 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911202767 Reassigns benefits to 6 organizations

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
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

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 Hospital, Denver, CO, CCN 060107
  • Orthocolorado Hosp at St Anthony Med Campus Hospital, Lakewood, CO, CCN 060124
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
69.37
Promoting interoperability
100
Improvement activities
40
Cost
65.17

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

Merit-based Incentive Payment System (MIPS)

Final score
74.04 of 100Reported as group
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

LicenseStateTypeSpecialty
0992119COMDCertified Registered Nurse Anesthetist
0185818COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
National Jewish Health CurrentSince Oct 1, 2022 Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Mar 17, 2020 Accepting new patients
Denver Digestive Health Specialists Inc CurrentSince Jun 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Colorado Pain Practice, PLLC CurrentSince Mar 17, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 18, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Dec 18, 2024 Accepting new patients
Colorado Gastroenterology Prof LLC PastSince Feb 19, 2024 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.

Hospital & facility affiliations 6

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

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.

Verify at the official NPI Registry.