Active NPI
Jennifer De Groot, FNP-BC
- Family Nurse Practitioner
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0994838
- Practice address
- 3027 N Circle Dr
Colorado Springs, CO 80909-1179 - Phone
- (719) 776-4700
- Fax
- (719) 776-4701
- NPI assigned
- May 11, 2019
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0994838 | CO | |
| Family Nurse Practitioner | 363LF0000X | 0994838 | CO | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 0994838 | CO | |
| Diabetes Educator Registered Nurse | 163WD0400X | 1618338 | CO |
Addresses
Primary practice location
3027 N Circle Dr
Colorado Springs, CO 80909-1179
Mailing address
3027 N Circle Dr
Colorado Springs, CO 80909-1179
Phone (719) 776-4700
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Other practice location 2
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone (719) 776-5536
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3027 N Circle Dr
Centura Endocrinology Colorado Spri
Colorado Springs, CO 80909-1179
Phone (719) 776-4700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1618338 | CO | MD | Diabetes Educator Registered Nurse |
| APN.0994838 | CO | MD | Nurse Practitioner |
| 0994838 | CO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
3027 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 577-2555
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
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.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba Centura Health Urgent Care Tri-Lakes
- Emergency Medicine Physician
- Monument, CO
- NPI 1639575954
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba NSSH Neurosurg Sah
- Neurological Surgery Physician
- Lakewood, CO
- NPI 1205846664
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
-
dba Mt. San Rafael Hospital
- Critical Access Hospital
- Trinidad, CO
- NPI 1184616740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1427614882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091179",
"telephone_number": "719-776-4700",
"fax_number": "719-776-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 N CIRCLE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809091179",
"telephone_number": "719-776-4700",
"fax_number": "719-776-4701"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-1234",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 N Nevada Ave",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809076819",
"country_code": "US",
"telephone_number": "719-776-5536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE GROOT",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-11",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0994838",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0994838",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "0994838",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "CO",
"license": "1618338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.