Active NPI
Jette Rosholm Hogenmiller, PHD, MN, ARNP, CDE
- Family Nurse Practitioner
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- C-APN.0100085-C-NP
- Practice address
- 12230 Lioness Way
Parker, CO 80134-5603 - Phone
- (720) 644-9355
- NPI assigned
- Oct 16, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 110088 | NE | |
| Family Nurse Practitioner | 363LF0000X | 025803 A099882 | IA | |
| Family Nurse Practitioner | 363LF0000X | AP 3000 3517 | WA | |
| Family Nurse Practitioner | 363LF0000X | 2010009933 | MO | |
| Family Nurse Practitioner | 363LF0000X | AP30003517 | WA | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0100085-C-NP | CO | Primary |
Addresses
Primary practice location
12230 Lioness Way
Parker, CO 80134-5603
Mailing address
9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355
Other practice location 1
80 Health Park Dr
Suite 270
Louisville, CO 80027-9584
Phone (303) 661-1860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-06671-511 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025803 A099882 | IA | MD | Family Nurse Practitioner |
| 2010009933 | MO | MD | Family Nurse Practitioner |
| 110088 | NE | MD | Family Nurse Practitioner |
| AP 3000 3517 | WA | MD | Family Nurse Practitioner |
| AP30003517 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Consultants PLLC | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Summit Medical Consultants Aco Prof LLC | Current | Accepting new patients | |
| Careconnectmd Colorado Inc. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
80 Health Park Dr
Ste 270
Louisville, CO 80027
Phone (303) 269-2085
12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777
373 E 10th Ave
Springfield, CO 81073
Phone (719) 523-4501
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1891471207
-
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1265822910
-
- Internal Medicine Physician
- Denver, CO
- NPI 1932704905
-
- Psychiatry Physician
- Denver, CO
- NPI 1073122586
-
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1447560065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 E COSTILLA AVE STE 540",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801123648",
"telephone_number": "720-644-9355",
"fax_number": "303-661-1861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [
{
"address_1": "80 Health Park Dr",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "CO",
"postal_code": "800279584",
"country_code": "US",
"telephone_number": "303-661-1860",
"fax_number": "303-661-1861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOGENMILLER",
"first_name": "JETTE",
"middle_name": "ROSHOLM",
"credential": "PHD, MN, ARNP, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-16",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110088",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "025803 A099882",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP 3000 3517",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2010009933",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30003517",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0100085-C-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47-06671-511",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.