Individual provider Active NPI

Jacquelyn Beth Kercheval, MD

  • Pulmonary Disease Physician
  • Denver, CO
National Provider Identifier
1326627738
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DR.0073083 Issued in CO
Practice address
12700 E 19TH Avenue
RC2, 9TH Floor Box C272
Denver, CO 80045
Phone
(303) 724-6043
NPI assigned
Apr 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X DR.0073083 CO Primary

Addresses

Primary practice location

12700 E 19TH Avenue
RC2, 9TH Floor Box C272
Denver, CO 80045

Mailing address

12700 E 19TH Avenue
RC2, 9TH Floor Box C272
Denver, CO 80045
Phone (303) 724-6043

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
I20250519000476 CO Practitioner - Internal Medicine 7113328485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

274 Union Blvd
Suite 200
Lakewood, CO 80228-1835
Phone (303) 951-0600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0073083COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Pulmonary and Sleep Associates Professional LLP CurrentSince Jul 1, 2025 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Pulmonary Disease CurrentSince Jul 1, 2025 Accepting new patients

Locations

274 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 778-5666

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1617494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1326627738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 E 19TH AVENUE",
            "address_2": "RC2, 9TH FLOOR BOX C272",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 E 19TH AVENUE",
            "address_2": "RC2, 9TH FLOOR BOX C272",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERCHEVAL",
        "first_name": "JACQUELYN",
        "middle_name": "BETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-04",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0073083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.