Active NPI
Jennifer V Yull, D.P.M.
- Primary Podiatric Medicine Podiatrist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 487
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57883 | Other | CO | BCBS |
| 84146929103 | Other | CO | PACIFICARE |
| 01004878 | Medicaid | CO | |
| 841469291001 | Other | CO | RMHMO |
| 480026777 | Other | CO | RRW 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
Enrollment records 1
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 623 |
| Removal or shaving of skin growth | 150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 487 | CO | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Foot & Ankle Inc | Primary Podiatric Medicine | Current | Accepting new patients |
| Cheyenne Foot & Ankle Inc | Primary Podiatric Medicine | Current | Accepting new patients |
Locations
2975 Broadmoor Valley Rd
Ste 104
Colorado Springs, CO 80906
Phone (719) 576-2080
Interoperability endpoints
- jyull@cfaai-co.direct.office.nextgen.com
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Colorado Springs, CO
- NPI 1851371942
-
- Primary Podiatric Medicine Podiatrist
- Canon City, CO
- NPI 1003083841
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penrose Cardiac & Pulmonary Rehab Center
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
dba Penrose Hospital
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.