Jacqueline Anne Woodrum, DO
Individual provider Active NPI Family Medicine Physician · Parker, CO
NPI 1285642199 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1285642199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36233 (CO)
- Practice address
- 15735 Carob Cir
Parker, CO 80134-4404 - Phone
- (785) 294-2765
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in CO, HI, MO, WI, TX, NE, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110610000475 | CO | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 1 organization |
| I20150604002736 | HI | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 1 organization |
| I20151222001376 | MO | Practitioner - Family Practice |
7012801426 | Reassigns benefits to 1 organization |
| I20170523002735 | WI | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 1 organization |
| I20170607002008 | TX | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 1 organization |
| I20220817003239 | NE | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 1 organization |
| I20230530001515 | IA | Practitioner - Family Practice | 7012801426 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36233 | CO | MD | Family Medicine Physician |
| 2700 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Avera Holy Family | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Archwell Health Professional Services, P.a. | Current |
Accepting new patients | |
| Avera Holy Family | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| St. Vincent General Hospital District | Current | Accepting new patients | |
| Carespot Professional Services LLC | Current |
Accepting new patients | |
| St. Vincent General Hospital District | Current |
Accepting new patients | |
| Choctaw Nation of Oklahoma | Current |
Accepting new patients | |
| Avera Holy Family | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients | |
| Jacqueline Woodrum, DO,PC | Family Medicine | Past |
Accepting new patients |
| Community Memorial Healthcare, Inc | Past | Accepting new patients | |
| Boulder Community Health | Past |
Accepting new patients | |
| Community Memorial Healthcare, Inc. | Past | Accepting new patients |
Locations
816 W 4th St
Leadville, CO 80461
Phone (719) 221-0660
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
1946 Young St
Ste 320
Honolulu, HI 96826
95-1249 Meheula Pkwy
Ste 187
Mililani, HI 96789
Phone (808) 282-6362
926 N 8th St
Estherville, IA 51334
Phone (712) 362-3501
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095
101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213
5401 N 90th St
Omaha, NE 68134
Phone (531) 895-7902
2816 Ames Ave
Omaha, NE 68111
Phone (531) 895-7801
1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981
1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204
410 N M St
Hugo, OK 74743
Phone (580) 326-7561
902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600
1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FEHCCD
- https://fhir-usa.unify.chbase.com/org/cmhinc-a449abfd
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36233 | CO | Yes |
Addresses
Primary practice location
15735 Carob Cir
Parker, CO 80134-4404
Mailing address
15735 Carob Cir
Parker, CO 80134-4404
Phone (785) 336-0144
Other providers in Parker, CO
- Abayneh Woldekidane
- Carrie M Wolf
- Melanie Nicole Wolf
- Steven B Wolkenberg
- Megan Elizabeth Woodman
- Tyler T. Woodworth
- Jennifer A Worcester
- Helina B Worku
- Michael Worrell II
- Paul Worsfold
All providers in Parker, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.