Individual provider Active NPI

Jamie Hanosh, MSN, APN, FNP-BC

  • Family Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1497471197
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0997888 Issued in CO
Practice address
1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone
(720) 485-3178
NPI assigned
Oct 13, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0997888 CO Primary

Addresses

Primary practice location

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950

Mailing address

1001 S Perry St Ste 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228000870 CO Practitioner - Nurse Practitioner 5799155222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartlight Family Clinic LLCGroup PAC ID 5597046219, 15 clinicians

Practice addresses (Care Compare)

1001 S Perry St
Suite 104B
Castle Rock, CO 80104-1950
Phone (720) 485-3178

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0997888COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Medical LLC Family Current Accepting new patients

Locations

1411 S Potomac St
Ste 300
Aurora, CO 80012
Phone (303) 531-4910

1001 S Perry St
Ste 104B
Castle Rock, CO 80104
Phone (303) 325-3901

3400 E Bayaud Ave
Ste 333
Denver, CO 80209
Phone (720) 485-3178

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1497471197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-485-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S PERRY ST STE 104B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041950",
            "telephone_number": "720-485-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOSH",
        "first_name": "JAMIE",
        "credential": "MSN, APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.