NPIMap

Individual provider Active NPI

Jennifer Elizabeth Skalla, FNP-C

  • Family Nurse Practitioner
  • Highlands Ranch, CO
National Provider Identifier
1588044614
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991819-NP Issued in CO
Practice address
9088 Ridgeline Blvd Ste 201
Highlands Ranch, CO 80129-2380
Phone
(720) 266-6900
NPI assigned
Jun 3, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.0196407 CO
Family Nurse Practitioner 363LF0000X APN.0991819-NP CO Primary

Addresses

Primary practice location

9088 Ridgeline Blvd Ste 201
Highlands Ranch, CO 80129-2380

Mailing address

9088 Ridgeline Blvd Ste 201
Highlands Ranch, CO 80129-2380
Phone (720) 266-6900

Other names 1

  • Jennifer Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000750 CO Practitioner - Nurse Practitioner 5395047112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5300

32214 Ellingwood TRL
210 Evgn Primary Care
Evergreen, CO 80439-9719
Phone (303) 679-2020

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

750 Warner Dr
GDNH Primary Care
Golden, CO 80401-5297
Phone (303) 925-4340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.0196407COMDRegistered Nurse
APN.0991819-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Current Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Aug 5, 2020 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jul 1, 2022 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

3100 S Sheridan Blvd
Denver, CO 80227
Phone (303) 742-3179

32214 Ellingwood Trl
Ste 210
Evergreen, CO 80439
Phone (303) 679-2020

750 Warner Dr
Golden, CO 80401
Phone (303) 925-4137

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 5

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 8

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1588044614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9088 RIDGELINE BLVD STE 201",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292380",
            "telephone_number": "720-266-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9088 RIDGELINE BLVD STE 201",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292380",
            "telephone_number": "720-266-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALLA",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0196407",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991819-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ANDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.