Individual provider Active NPI

Jennifer Ellen Powell

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1497592323
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.1000160-NP Issued in CO
Practice address
4863 N Nevada Ave
Colorado Springs, CO 80918-3951
Phone
(719) 255-8001
NPI assigned
Jul 9, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN.1629671 CO
Family Nurse Practitioner 363LF0000X APN.1000160-NP CO Primary

Addresses

Primary practice location

4863 N Nevada Ave
Colorado Springs, CO 80918-3951

Mailing address

4863 N Nevada Ave
Colorado Springs, CO 80918-3951

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
I20250319000312 CO Practitioner - Nurse Practitioner 1153843297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4863 N Nevada Ave
Uccs Healthcircle
Colorado Springs, CO 80918-3951
Phone (719) 255-8001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1629671COMDGeneral Practice Registered Nurse
APN.1000160-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Colorado Family CurrentSince Mar 1, 2025 Accepting new patients
Regents of the University of Colorado Family Current Accepting new patients
The Regents of the University of Colorado CurrentSince Mar 1, 2025 Accepting new patients
Regents of the University of Colorado Past Accepting new patients

Locations

4863 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 255-8001

4863 N Nevada Ave
#250
Colorado Springs, CO 80918

4863 N Nevada Ave
Ste 380
Colorado Springs, CO 80918
Phone (719) 255-8001

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1497592323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183951",
            "telephone_number": "719-255-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CO",
            "license": "RN.1629671",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1000160-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.