Jennifer Camello Tomback, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0071226 Issued in CO

Practice address

360 Peak One Dr Ste 100
Frisco, CO 80443-5948

Phone

(970) 668-4040

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Rush Medical College of Rush University, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Community Care Clinic IncGroup PAC ID 8022284074, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthony Summit Medical Center Hospital, Frisco, CO, CCN 060118

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtomback770535@direct.ochin.org

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.

• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Frisco, CO
  • NPI 1831219328
  Medicare reassignment Care Compare group NPD
• Summit Community Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leadville, CO
  • NPI 1619522430
  NPD
• Peaks Medical PC

  • Primary Care Clinic/Center
  • Dillon, CO
  • NPI 1528797065
  NPD (past)

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

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Frisco, CO
  • NPI 1720096092
  Care Compare affiliation

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1316566227",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 PEAK ONE DR STE 100",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804435948",
            "telephone_number": "970-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBACK",
        "first_name": "JENNIFER",
        "middle_name": "CAMELLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Torrence Thompson, DPT
• Terri Thorn, PA-C
• Timberline Adult Day Services
• Catherine Tobin, LPCC, LAC
• Sarah Tofferi, CAC II
• Amy L. Tomlinson, MD
• Colleen Toth, DC
• Susan M. Toys, MA
• Nicole Triant
• Trustinggrowth Counseling

• Family Medicine Physician in Frisco, CO
• Providers in Frisco, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.