Individual provider Active NPI

Jennifer Procter Kagan

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1194209379
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994111 Issued in CO
Practice address
999 18TH St Ste 3000
Denver, CO 80202-2449
Phone
(888) 731-8994
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 APN.0994111 CO Primary

Addresses

Primary practice location

999 18TH St Ste 3000
Denver, CO 80202-2449

Mailing address

PO Box 4337
Frisco, CO 80443-4337
Phone (970) 668-4040

Other practice location 1

360 Peak One Drive
Suite #100
Frisco, CO 80443
Phone (970) 668-4040

Other practice location 2

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

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
I20190116003592 CO Practitioner - Nurse Practitioner 6901142652 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994111COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Community Care Clinic, Inc. CurrentSince Sep 21, 2018 Accepting new patients
Summit Community Care Clinic, Inc. CurrentSince Sep 21, 2018 Accepting new patients
Summit Community Care Clinic, Inc. Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

360 Peak One Dr
Ste 100
Frisco, CO 80443
Phone (970) 423-4001

360 Peak One Dr
Frisco, CO 80443
Phone (970) 368-6502

Interoperability endpoints

  • Direct secure messaging: jkagan770539@direct.ochin.org
  • Direct secure messaging: jennifer.kagan.1@27069.direct.athenahealth.com

Organizations & group practices 4

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1194209379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4337",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804434337",
            "telephone_number": "970-668-4040",
            "fax_number": "970-668-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 18TH ST STE 3000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022449",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Peak One Drive",
            "address_2": "Suite #100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "fax_number": "970-668-6699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "JENNIFER",
        "middle_name": "PROCTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.