Individual provider Active NPI

Jennifer G Burke, NPC

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1356547392
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991552 Issued in CO
Practice address
3701 S Clarkson St Ste 400
Englewood, CO 80113
Phone
(303) 761-7797
Fax
(303) 789-2995
NPI assigned
Jun 26, 2007
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0991552 CO
Family Nurse Practitioner 363LF0000X APN.0991552 CO Primary

Addresses

Primary practice location

3701 S Clarkson St Ste 400
Englewood, CO 80113

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

255 S Routt St Ste 350
Lakewood, CO 80228-2271
Phone (303) 761-7797

Other practice location 2

2356 Meadows Blvd Ste 340
Castle Rock, CO 80109-8410
Phone (303) 761-7797

Other identifiers 1

IdentifierTypeStateIssuer
27507OtherKAISER COMMERCIAL NUMBER

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address JB4830@forefrontdermatology.emadirect.md
Direct Messaging Address JB4830@forefrontdermatology.emadirect.md
Direct Messaging Address JB4830@forefrontdermatology.emadirect.md

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914003277 CO Practitioner - Nurse Practitioner 2466547864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

3701 S Clarkson St
Suite 400
Englewood, CO 80113-3960
Phone (303) 761-7797

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
77628WVMDRegistered Nurse
APN.0991552COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Apr 1, 2019 Accepting new patients
Forefront Dermatology SC CurrentSince Apr 1, 2019 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Asarch Surgery Center PastSince Jul 3, 2017 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

2356 Meadows Blvd
Ste 340
Castle Rock, CO 80109

3701 S Clarkson St
Ste 400
Englewood, CO 80113

255 S Routt St
Ste 350
Lakewood, CO 80228

1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: jb4830@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1356547392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S CLARKSON ST STE 400",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "80113",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Routt St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282271",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2356 Meadows Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098410",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991552",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "27507",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JB4830@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2356 Meadows Blvd Ste 340",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801098410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JB4830@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3701 S Clarkson St Ste 400",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JB4830@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "255 S Routt St Ste 350",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802282271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.