NPIMap

Individual provider Active NPI

Jennie Barker, FNP-BC

  • Family Medicine Physician
  • Cripple Creek, CO
National Provider Identifier
1427812783
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN.0999503-NP Issued in CO
Practice address
412 N C St
Cripple Creek, CO 80813-5052
Phone
(719) 820-7740
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APN.0999503-NP CO Primary

Addresses

Primary practice location

412 N C St
Cripple Creek, CO 80813-5052

Mailing address

12574 Angelina Dr
Peyton, CO 80831-8468
Phone (702) 403-0526

Other practice location 1

8540 Scarborough Dr
Colorado Springs, CO 80920-7502
Phone (719) 358-8270

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
I20240229002946 CO Practitioner - Nurse Practitioner 4880039809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gorman Medical LLCGroup PAC ID 1557583135, 10 clinicians

Practice addresses (Care Compare)

412 N C St
Gorman Medical Cripple Creek
Cripple Creek, CO 80813-5052
Phone (719) 820-7740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999503-NPCOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman Medical LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

8540 Scarborough Dr
Colorado Springs, CO 80920
Phone (719) 358-8270

8540 Scarborough Dr
Ste 270
Colorado Springs, CO 80920

8540 Scarborough Dr
Ste 370
Colorado Springs, CO 80920
Phone (719) 358-8270

Organizations & group practices 1

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1427812783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 ANGELINA DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808318468",
            "telephone_number": "702-403-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N C ST",
            "city": "CRIPPLE CREEK",
            "state": "CO",
            "postal_code": "808135052",
            "telephone_number": "719-820-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Scarborough Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207502",
            "country_code": "US",
            "telephone_number": "719-358-8270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JENNIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "APN.0999503-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cripple Creek, CO

Sources for this page

Verify at the official NPI Registry.