Individual provider Active NPI

Jennifer Anne Springer, M.D.

  • Cardiovascular Disease Physician
  • San Luis Obispo, CA
National Provider Identifier
1407122823
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A162167 Issued in CA
Practice address
1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401
Phone
(805) 782-8844
Fax
(805) 782-8859
NPI assigned
Mar 29, 2012
Last updated
Nov 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A162167 CA Primary

Addresses

Primary practice location

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401

Mailing address

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401-4154
Phone (805) 782-8844

Other practice location 1

310 S Halcyon Rd Ste 105
Arroyo Grande, CA 93420-3839
Phone (805) 782-8844 ext. 161

Other practice location 2

1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone (805) 543-5353

Other practice location 3

1941 Johnson Ave Ste 102
San Luis Obispo, CA 93401-4174
Phone (805) 782-8844 ext. 161

Other practice location 4

1941 Johnson Ave Ste 101
San Luis Obispo, CA 93401
Phone (805) 782-8844 ext. 161

Other practice location 5

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 489-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201228001595 CO Practitioner - Cardiovascular Disease (Cardiology) 7214169218 Reassigns benefits to 1 organization
I20220525000608 UT Practitioner - Cardiovascular Disease (Cardiology) 7214169218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Vermont College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

201 W Park Dr
201 West Park Cardiology
Grand Junction, CO 81505-1469
Phone (970) 298-3050

2635 N 7TH St
Grand Junction, CO 81501-8209

2686 Patterson Rd
Grand Junction, CO 81506-8817
Phone (970) 298-2001

360 W Park Dr
Intermountain Health Heart and Vascular Wes
Grand Junction, CO 81505-1448
Phone (970) 298-3050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Feb 12, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Feb 12, 2022 Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

360 W Park Dr
Grand Junction, CO 81505
Phone (970) 244-2482

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

Interoperability endpoints

  • Direct secure messaging: jspringer248263@direct.intermountainhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1407122823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014154",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 JOHNSON AVE STE 101",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-782-8844",
            "fax_number": "805-782-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 S Halcyon Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203839",
            "country_code": "US",
            "telephone_number": "805-782-8844 x161",
            "fax_number": "805-540-5827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014131",
            "country_code": "US",
            "telephone_number": "805-543-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Johnson Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934014174",
            "country_code": "US",
            "telephone_number": "805-782-8844 x161",
            "fax_number": "805-782-8859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Johnson Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "93401",
            "country_code": "US",
            "telephone_number": "805-782-8844 x161",
            "fax_number": "805-782-8859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 S Halcyon Rd",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203817",
            "country_code": "US",
            "telephone_number": "805-489-4261",
            "fax_number": "805-782-8859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A162167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.