Active NPI
Jeffrey Wentz, MD
- Psychiatry Physician
- Peterson Space Force Base, CO
National Provider Identifier
1487045803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0065509
- Practice address
- 559 Vincent St
Space Base Delta 1
Peterson Space Force Base, CO 80914 - Phone
- (719) 556-7804
- NPI assigned
- Feb 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DR.0065509 | CO | Primary |
| Psychiatry Physician | 2084P0800X | 29778 | NE |
Addresses
Primary practice location
559 Vincent St
Space Base Delta 1
Peterson Space Force Base, CO 80914
Mailing address
559 Vincent St
Space Base Delta 1
Peterson Space Force Base, CO 80914
Other practice location 1
5350 Tomah Dr Ste 3500
Colorado Springs, CO 80918-6976
Phone (719) 574-6562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 19, 2023 through Sep 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29778 | NE | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenith Psychiatry & Aeromedical Consulting, LLC | Psychiatry | Current | Accepting new patients |
Locations
5350 Tomah Dr
Ste 3500
Colorado Springs, CO 80918
Phone (719) 574-6562
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Colorado Springs, CO
- NPI 1225913312
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1487045803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 VINCENT ST",
"address_2": "SPACE BASE DELTA 1",
"city": "PETERSON SPACE FORCE BASE",
"state": "CO",
"postal_code": "80914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 VINCENT ST",
"address_2": "SPACE BASE DELTA 1",
"city": "PETERSON SPACE FORCE BASE",
"state": "CO",
"postal_code": "80914",
"telephone_number": "719-556-7804"
}
],
"practiceLocations": [
{
"address_1": "5350 Tomah Dr Ste 3500",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809186976",
"country_code": "US",
"telephone_number": "719-574-6562",
"fax_number": "719-475-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENTZ",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-06",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0065509",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "29778",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peterson Space Force Base, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.