NPIMap

Individual provider Active NPI

Jenna Tatgenhorst, PA-C

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1417363763
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006736 Issued in CO
Practice address
350 Indiana St Ste 250
Golden, CO 80401-5074
Phone
(720) 898-9427
NPI assigned
Jul 8, 2014
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006736 CO Primary
Surgical Physician Assistant 363AS0400X PA.0006736 CO

Addresses

Primary practice location

350 Indiana St Ste 250
Golden, CO 80401-5074

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (303) 763-4900

Other practice location 1

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (303) 643-4117

Other identifiers 1

IdentifierTypeStateIssuer
9000198401MedicaidCO

Other names 1

  • Jenna Earls Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210901000431 CO Practitioner - Physician Assistant 1658777560 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

11750 W 2ND PL
Lakewood, CO 80228-1726

400 Indiana St
Suite 340
Golden, CO 80401-5033
Phone (720) 452-1267

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onpoint Medical Group, LLC CurrentSince Sep 13, 2021 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Onpoint Medical Group, LLC CurrentSince Sep 13, 2021 Accepting new patients
New West Physicians Inc CurrentSince Jan 30, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 5, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Mar 5, 2025 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Optumcare Colorado Medical Group LLC Past Accepting new patients
Castle Pines Family Practice, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

350 Indiana St
Ste 250
Golden, CO 80401
Phone (720) 813-7248

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

13402 W Coal Mine Ave
Ste 300
Littleton, CO 80127
Phone (303) 963-0566

7335 S Pierce St
Littleton, CO 80128
Phone (303) 932-1919

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9821/brand/7/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1417363763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "303-763-4900",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 INDIANA ST STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015074",
            "telephone_number": "720-898-9427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "303-643-4117",
            "fax_number": "720-321-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATGENHORST",
        "first_name": "JENNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006736",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0006736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000198401",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "EARLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.