Individual provider Active NPI

Jennifer Firebaugh, NP-C

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1528668381
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0995843 Issued in CO
Practice address
490 W Colfax Ave
Denver, CO 80204-2607
Phone
(720) 337-0250
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0995843 CO Primary

Addresses

Primary practice location

490 W Colfax Ave
Denver, CO 80204-2607

Mailing address

490 W Colfax Ave
Denver, CO 80204-2607

Other names 1

  • Miss Jennifer Moseley Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jennifer.firebaugh@dhha.org

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
I20201208001193 CO Practitioner - Nurse Practitioner 8820400393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0995843COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Dec 1, 2020 Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1528668381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 W COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042607",
            "telephone_number": "720-337-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIREBAUGH",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "0995843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jennifer.firebaugh@dhha.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "address_1": "490 W Colfax Ave",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802042607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOSELEY",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.