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Individual provider Active NPI

Janel Sharp Moreno, ARNP

  • Family Nurse Practitioner
  • Peterson Afb, CO
National Provider Identifier
1346260320
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
.0991000 Issued in CO
Practice address
559 Vincent St
Attn: 21 MDDS/Sgof - Fam HLTH
Peterson Afb, CO 80914-1541
Phone
(719) 526-2273
Fax
(877) 813-1756
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X .0991000 CO Primary

Addresses

Primary practice location

559 Vincent St
Attn: 21 MDDS/Sgof - Fam HLTH
Peterson Afb, CO 80914-1541

Mailing address

559 Vincent St
Attn: 21 MDDS/Sgof - Fam HLTH
Peterson Afb, CO 80914-1541
Phone (719) 526-2273

Other names 1

  • Miss Janel Jayme Sharp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904001164 CO Practitioner - Nurse Practitioner 2668377490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2932
Phone (719) 454-6010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
.0991000COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Oct 21, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family CurrentSince Oct 21, 2022 Accepting new patients
Physical Medicine Specialists, Inc. Past Accepting new patients
St Vincents Ambulatory Care Inc PastSince Jan 12, 2010 Accepting new patients
St Vincents Electrocardiography, Inc PastSince Jul 3, 2008 Accepting new patients
Symphony Specialty Group, LLC PastSince Jul 17, 2023 Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients
Physicians Group Services PA Family Past Accepting new patients
Atlantic Family Medical Center of Jacksonville PL Past Accepting new patients

Locations

4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010

Organizations & group practices 9

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1346260320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDDS/SGOF - FAM HLTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-526-2273",
            "fax_number": "877-813-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "ATTN: 21 MDDS/SGOF - FAM HLTH",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-526-2273",
            "fax_number": "877-813-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO",
        "first_name": "JANEL",
        "middle_name": "SHARP",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": ".0991000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANEL",
            "last_name": "SHARP",
            "middle_name": "JAYME",
            "prefix": "MISS",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peterson Afb, CO

Sources for this page

Verify at the official NPI Registry.