Jacki Sue Degolyer, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5019545 Issued in NC

Practice address

999 18TH St Ste 3000
Denver, CO 80202-2449

Phone

(888) 731-8994

NPI assigned

Jul 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CO, NC, SC3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment Care Compare group NPD
• Onpoint Medical Group, LLC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1629174826

  Family Medicine

  Medicare reassignment NPD
• The Little Clinic of Colorado, LLC

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1538354568
  Medicare reassignment NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Clover, SC
  • NPI 1568641165
  Medicare reassignment NPD
• Onpoint Medical Group, LLC

  • Family Medicine Physician
  • Littleton, CO
  • NPI 1194406025
  NPD
• Onpoint Medical Group, LLC

  • Family Medicine Physician
  • Castle Pines, CO
  • NPI 1487271433
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Cherryville, NC
  • NPI 1124207725
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1982883583
  NPD
• Integrative Womens Care PC

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
  • NPI 1972266732
  NPD (past)

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1356912497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 18TH ST STE 3000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 18TH ST STE 3000",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022449",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 S. Faber Dr. Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29405",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Fayetteville St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276013000",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGOLYER",
        "first_name": "JACKI",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5019545",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0996679-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO REGISTERED NURSE LICENSE",
            "identifier": "0175594",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "0996679-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDE SPECIAL SERVICE PROVIDER",
            "identifier": "227042",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "364412",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE",
            "identifier": "5019545",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy-Lee Defusco, BCBA, ECSE
• Gabrielle Degagne
• Paul Thomas Deger, LPC
• Kelly Degirolamo, LCSW
• Meghan Degnan, NP
• Heather Michele Degroot, BA CAC II
• Frank Degruy, MD
• Ashton Ann Dehahn, LCSW
• Joshua Keith Dehart, BS
• Tamara Lynn Dehay, PH.D.

• Primary Care Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.