Individual provider Active NPI

Jenny Leong Abernathy, FNP

  • Family Nurse Practitioner
  • Erie, CO
National Provider Identifier
1407059355
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0004740-NP Issued in CO
Practice address
101 Erie Pkwy Ste 101
Erie, CO 80516-4071
Phone
(303) 415-5810
Fax
(303) 415-5820
NPI assigned
Jun 7, 2007
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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.0004740-NP CO
Family Nurse Practitioner 363LF0000X APN.0004740-NP CO Primary

Addresses

Primary practice location

101 Erie Pkwy Ste 101
Erie, CO 80516-4071

Mailing address

5450 Western Ave
Boulder, CO 80301-2709
Phone (303) 415-4770

Other practice location 1

1900 Wardenburg Drive
Boulder, CO 80309-3343
Phone (303) 492-5101

Other identifiers 1

IdentifierTypeStateIssuer
00939846MedicaidCO

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
I20091015000649 CO Practitioner - Nurse Practitioner 3173669561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

6685 Gunpark Dr
Suite 110
Boulder, CO 80301-3343
Phone (303) 415-7599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0004740-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Jun 7, 2009 Accepting new patients
Boulder Community Health CurrentSince Jun 7, 2009 Accepting new patients
Boulder Community Health Current Accepting new patients
Regents of the University of Colorado Nurse Practitioner Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199

6685 Gunpark Dr
Ste 110
Boulder, CO 80301
Phone (303) 415-7599

101 Erie Pkwy
Ste 101
Erie, CO 80516
Phone (303) 415-5810

3 Superior Dr
Ste 100A
Superior, CO 80027
Phone (303) 415-5255

Interoperability endpoints

  • Direct secure messaging: jabernathy@bch.gwaydirect.com

Organizations & group practices 6

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1407059355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-4770",
            "fax_number": "303-415-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ERIE PKWY STE 101",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805164071",
            "telephone_number": "303-415-5810",
            "fax_number": "303-415-5820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Wardenburg Drive",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803093343",
            "country_code": "US",
            "telephone_number": "303-492-5101",
            "fax_number": "303-492-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "JENNY",
        "middle_name": "LEONG",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0004740-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0004740-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00939846",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.