Individual provider Active NPI

Jane Elyse Henkel, MD

  • Obstetrics & Gynecology Physician
  • Golden, CO
National Provider Identifier
1376079376
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0066435 Issued in CO
Practice address
2801 Youngfield St Ste 200
Golden, CO 80401-2202
Phone
(303) 940-1867
Fax
(303) 940-1894
NPI assigned
May 11, 2017
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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
Obstetrics & Gynecology Physician 207V00000X DR.0066435 CO Primary

Addresses

Primary practice location

2801 Youngfield St Ste 200
Golden, CO 80401-2202

Mailing address

2801 Youngfield St Ste 200
Golden, CO 80401-2202
Phone (303) 940-1867

Other practice location 1

Obstetrics & Gynecology Residency Program
853 Jefferson Avenue, Room E102
Memphis, TN 38163-0001
Phone (901) 488-4795

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
I20210726000096 CO Practitioner - Obstetrics/Gynecology 0244501898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

2801 Youngfield St
Suite 200
Golden, CO 80401-2202
Phone (303) 940-1867

7200 S Alton Way
Centennial, CO 80112-2207
Phone (303) 730-2229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0066435COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates Obstetrics & Gynecology CurrentSince Aug 30, 2021 Accepting new patients
Intermountain Front Range, Inc. Past Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

2801 Youngfield St
Ste 200
Lakewood, CO 80401
Phone (303) 815-2844

Interoperability endpoints

  • Direct secure messaging: jane.henkel.1@8558.direct.athenahealth.com

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, 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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1376079376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012202",
            "telephone_number": "303-940-1867",
            "fax_number": "303-940-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 YOUNGFIELD ST STE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012202",
            "telephone_number": "303-940-1867",
            "fax_number": "303-940-1894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Obstetrics & Gynecology Residency Program",
            "address_2": "853 Jefferson Avenue, Room E102",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381630001",
            "country_code": "US",
            "telephone_number": "901-488-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "JANE",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0066435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.