Individual provider Active NPI

Jennifer Flickinger

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1255986741
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0994914-NP Issued in CO
Practice address
2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265
Phone
(719) 636-1201
Fax
(719) 636-1326
NPI assigned
Aug 2, 2019
Last updated
Mar 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0994914-NP CO
Adult Health Nurse Practitioner 363LA2200X APN0994914-NP CO Primary
Family Nurse Practitioner 363LF0000X APN.0994914-NP CO
Pain Management Registered Nurse 163WP0000X APN.0994914-NP CO
Pain Medicine Physician 208VP0000X APRN.CNP.024577 OH
Orthotic Fitter 225000000X APN.0994914-NP CO

Addresses

Primary practice location

2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265

Mailing address

2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265
Phone (719) 636-1201

Other practice location 1

755 Heritage Rd Ste 100
Golden, CO 80401-3600
Phone (303) 277-0700

Other practice location 2

1230 Tenderfoot Hill Rd Ste 255
Colorado Springs, CO 80906-7393
Phone (719) 694-9446

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
I20190911002729 CO Practitioner - Nurse Practitioner 2567791833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815

4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as apm
Quality
84.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024577OHMDPain Medicine Physician
APN.0994914-NPCOMDOrthotic Fitter
APN0994914-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Gastroenterology Associates Multi-Specialty CurrentSince Mar 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Multi-Specialty PastSince Oct 6, 2024 Accepting new patients

Locations

1370 Interquest Pkwy
Ste 320
Colorado Springs, CO 80921

1400 E Boulder St
Ste 1722
Colorado Springs, CO 80909
Phone (719) 364-3640

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907
Phone (719) 659-0275

4050 Briargate Pkwy
Ste A2115
Colorado Springs, CO 80920
Phone (719) 365-5543

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1255986741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Heritage Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804013600",
            "country_code": "US",
            "telephone_number": "303-277-0700",
            "fax_number": "303-277-0714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1230 Tenderfoot Hill Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067393",
            "country_code": "US",
            "telephone_number": "719-694-9446",
            "fax_number": "719-694-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLICKINGER",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994914-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN0994914-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994914-NP",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CO",
            "license": "APN.0994914-NP",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "APRN.CNP.024577",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CO",
            "license": "APN.0994914-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.