Individual provider Active NPI

Jennifer V Yull, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Colorado Springs, CO
National Provider Identifier
1548240609
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
487 Issued in CO
Practice address
2975 Broadmoor Valley Rd
Suite 104
Colorado Springs, CO 80906-4466
Phone
(719) 576-2080
Fax
(719) 576-2248
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 487 CO Primary

Addresses

Primary practice location

2975 Broadmoor Valley Rd
Suite 104
Colorado Springs, CO 80906-4466

Mailing address

2975 Broadmoor Valley Rd
Suite 104
Colorado Springs, CO 80906-4466
Phone (719) 576-2080

Other identifiers 5

IdentifierTypeStateIssuer
57883OtherCOBCBS
84146929103OtherCOPACIFICARE
01004878MedicaidCO
841469291001OtherCORMHMO
480026777OtherCORRW MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000152 CO Practitioner - Podiatry 9537183348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2975 Broadmoor Valley Rd
Colorado Springs, CO 80906-4466
Phone (719) 576-2080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue623
Removal or shaving of skin growth150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
487COMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Foot & Ankle Inc Primary Podiatric Medicine Current Accepting new patients
Cheyenne Foot & Ankle Inc Primary Podiatric Medicine CurrentSince Jan 1, 1999 Accepting new patients

Locations

2975 Broadmoor Valley Rd
Ste 104
Colorado Springs, CO 80906
Phone (719) 576-2080

Interoperability endpoints

  • Direct secure messaging: jyull@cfaai-co.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1548240609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 BROADMOOR VALLEY RD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064466",
            "telephone_number": "719-576-2080",
            "fax_number": "719-576-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 BROADMOOR VALLEY RD",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064466",
            "telephone_number": "719-576-2080",
            "fax_number": "719-576-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YULL",
        "first_name": "JENNIFER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CO",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57883",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84146929103",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01004878",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMHMO",
            "identifier": "841469291001",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MEDICARE",
            "identifier": "480026777",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.