Active NPI
Lauren Jasilli, FNP-C
- Family Medicine Physician
- Boulder, CO
National Provider Identifier
1184228934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APN.0996061-NP
- Practice address
- 2760 29TH St Ste 2B
Boulder, CO 80301-1221 - Phone
- (303) 444-6400
- NPI assigned
- Nov 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.0996061-NP | CO | |
| Family Medicine Physician | 207Q00000X | APN.0996061-NP | CO | Primary |
Addresses
Primary practice location
2760 29TH St Ste 2B
Boulder, CO 80301-1221
Mailing address
2760 29TH St Ste 2B
Boulder, CO 80301-1221
Phone (303) 444-6400
Other names 1
- Ms. Lauren Ruth Pemberton
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- George Washington University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2760 29TH St
Suite 2B
Boulder, CO 80301-1221
Phone (303) 444-6400
Hospital & facility affiliations
- Boulder Community Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Medical Center | Family Medicine | Current | Accepting new patients |
Locations
2760 29th St
Ste 2B
Boulder, CO 80301
Phone (303) 444-5105
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Boulder, CO
- NPI 1164048161
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1184228934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "303-444-6400",
"fax_number": "303-444-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 2B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "303-444-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASILLI",
"first_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0996061-NP",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "APN.0996061-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "PEMBERTON",
"middle_name": "RUTH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.