Individual provider Active NPI

Jennifer Cammilleri, FNP-BC

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1194193631
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0996162 Issued in CO
Practice address
4700 E Iliff Ave
Denver, CO 80222-6025
Phone
(303) 335-0062
Fax
(303) 223-0090
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 0996162 CO Primary

Addresses

Primary practice location

4700 E Iliff Ave
Denver, CO 80222-6025

Mailing address

4700 E Iliff Ave Ste 1
Denver, CO 80222-6025
Phone (303) 335-0062

Other names 1

  • Jennifer Cartone Former name

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
I20240425003182 CO Practitioner - Nurse Practitioner 3173963014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996162COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Corp CurrentSince Apr 1, 2024 Accepting new patients

Locations

4700 E Iliff Ave
Ste 1
Denver, CO 80222

4700 E Iliff Ave
Denver, CO 80222
Phone (303) 335-0062

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.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1194193631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E ILIFF AVE STE 1",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226025",
            "telephone_number": "303-335-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226025",
            "telephone_number": "303-335-0062",
            "fax_number": "303-223-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMILLERI",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0996162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CARTONE",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.