Jakob Nelsen, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.1000279-NP Issued in CO

Practice address

6897 Paiute Ave Ste 5
Niwot, CO 80503-7169

Phone

(303) 652-4196

NPI assigned

Jan 19, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Colorado School of Medicine, Aurora, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Colorado Coalition for the HomelessGroup PAC ID 7618958687, shared by 8 NPIs, 47 clinicians

Amavi Integrative Mental Wellness LLCGroup PAC ID 4082043401, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Amavi Integrative Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Niwot, CO
  • NPI 1841823994
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1487415113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6897 PAIUTE AVE STE 5",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037169",
            "telephone_number": "303-652-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6897 PAIUTE AVE STE 5",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037169",
            "telephone_number": "303-652-4196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Stout St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052827",
            "country_code": "US",
            "telephone_number": "303-293-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "JAKOB",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-19",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1683337",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000279-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terryann Stilwell Masotti, RN, MA, LPC
• Sean Patrick McNamara, PMHNP-BC
• Casey Lynne McPherson, OTR/L, MFP
• David Franklin Meisner, DDS
• Aliza Morrison, MOTR
• Next Phase Ventures LLC
• Niles Mad Solutions, LLC
• Ashley Moore Niles, D.D.S
• On Site Dental Surgery
• Patricia Sinoway MD PLLC

• Psychiatric/Mental Health Nurse Practitioner in Niwot, CO
• Providers in Niwot, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
• 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.

Verify at the official NPI Registry.