Individual provider Active NPI

Jacqueline Morris, NP

  • Women's Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1184080707
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN.0991622-NP Issued in CO
Practice address
225 S Union Blvd
Colorado Springs, CO 80910-3184
Phone
(719) 632-5700
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0187305 CO
Women's Health Nurse Practitioner 363LW0102X 68701 NM
Women's Health Nurse Practitioner 363LW0102X 850386 NV
Women's Health Nurse Practitioner 363LW0102X APN.0991622-NP CO Primary

Addresses

Primary practice location

225 S Union Blvd
Colorado Springs, CO 80910-3184

Mailing address

225 S Union Blvd
Colorado Springs, CO 80910-3184
Phone (719) 632-5700

Other practice location 1

730 Saint Michaels Dr Ste 4B
Santa Fe, NM 87505-7606
Phone (505) 982-3684

Other practice location 2

3300 E Flamingo Rd Ste 25
Las Vegas, NV 89121-4398
Phone (702) 547-9888

Other practice location 3

7155 E 38th Ave
Denver, CO 80207-1630
Phone (505) 944-2021

Other practice location 4

701 San Mateo Blvd NE
Albuquerque, NM 87108-1434
Phone (505) 265-9511

Other identifiers 2

IdentifierTypeStateIssuer
07720076MedicaidCO
83583041MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706000972 CO Practitioner - Nurse Practitioner 1850750019 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
Group practices

Practice addresses (Care Compare)

1400 E Boulder
Colorado Springs, CO 80909-5533
Phone (719) 776-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.0187305COMDRegistered Nurse
APN.0991622-NPCOMDWomen's Health Nurse Practitioner
68701NMMDWomen's Health Nurse Practitioner
850386NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Jun 30, 2023 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jun 30, 2023 Accepting new patients
Peak Vista Community Health Centers Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients
Planned Parenthood of the Rocky Mountains, Inc Past Accepting new patients

Locations

225 S Union Blvd
Ste 2
Colorado Springs, CO 80910
Phone (719) 344-6617

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

225 S Union Blvd
Colorado Springs, CO 80910
Phone (719) 344-6304

Interoperability endpoints

  • Direct secure messaging: jacqueline.morris.p1@direct.peakvista.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1184080707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103184",
            "telephone_number": "719-632-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103184",
            "telephone_number": "719-632-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Saint Michaels Dr Ste 4B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057606",
            "country_code": "US",
            "telephone_number": "505-982-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 E Flamingo Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891214398",
            "country_code": "US",
            "telephone_number": "702-547-9888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7155 E 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802071630",
            "country_code": "US",
            "telephone_number": "505-944-2021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 San Mateo Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081434",
            "country_code": "US",
            "telephone_number": "505-265-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JACQUELINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0187305",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "68701",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "850386",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0991622-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07720076",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83583041",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.