Individual provider Active NPI

Jennifer Lynn Weitenberner, M.D.

  • Anesthesiology Physician
  • Loveland, CO
National Provider Identifier
1295957223
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
48117 Issued in CO
Practice address
2555 E 13TH St Ste 220
Loveland, CO 80537-5136
Phone
(970) 669-5432
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 48117 CO Primary

Addresses

Primary practice location

2555 E 13TH St Ste 220
Loveland, CO 80537-5136

Mailing address

3702 S Timberline Rd Ste a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Other identifiers 1

IdentifierTypeStateIssuer
48487821MedicaidCO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000767 CO Practitioner - Anesthesiology 2860534005 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Alabama School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for GastroenterologyGroup PAC ID 9537059555, 38 clinicians

Practice addresses (Care Compare)

3702 S Timberline Rd
Suite a
Fort Collins, CO 80525-3625
Phone (970) 207-9773

Merit-based Incentive Payment System (MIPS)

Final score
74.04 of 100Reported as group
Quality
48.8
Promoting interoperability
98
Improvement activities
40
Cost
66.32

Merit-based Incentive Payment System (MIPS)

Final score
60.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
68.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48117COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Digestive Health Specialists Inc CurrentSince Sep 1, 2023 Accepting new patients
Centers for Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients
Physician Anesthesia Services PC Anesthesiology CurrentSince Jul 1, 2010 Accepting new patients
Colorado Gastroenterology Prof LLC PastSince Feb 19, 2024 Accepting new patients

Locations

8155 E 1st Ave
Denver, CO 80230
Phone (303) 344-4844

4500 E 9th Ave
Ste 720S
Denver, CO 80220
Phone (303) 355-3525

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

3702 S Timberline Rd
Ste A
Fort Collins, CO 80525
Phone (970) 207-9773

1819 Denver West Dr
Ste 200
Lakewood, CO 80401
Phone 30342294381018

2555 E 13th St
Ste 220
Loveland, CO 80537
Phone (970) 669-5432

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1295957223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 S TIMBERLINE RD STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253625",
            "telephone_number": "970-207-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 13TH ST STE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805375136",
            "telephone_number": "970-669-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITENBERNER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "48117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48487821",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.