Active NPI
Jacalyn Michelle Raehl, FNP-C
- Family Nurse Practitioner
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ANP.0997509-NP
- Practice address
- 12791 W Alameda Pkwy
Lakewood, CO 80228-2838 - Phone
- (303) 968-6062
- Fax
- (983) 203-8070
- NPI assigned
- Apr 19, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ANP.0997509-NP | CO | Primary |
Addresses
Primary practice location
12791 W Alameda Pkwy
Lakewood, CO 80228-2838
Mailing address
12791 W Alameda Pkwy
Lakewood, CO 80228-2838
Phone (303) 968-6062
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12791 W Alameda Pkwy
Lakewood, CO 80228-2838
Phone (720) 379-2355
7481 Knox PL
Westminster, CO 80030-4818
Phone (303) 427-7101
Hospital & facility affiliations
- Bristol Hospice - Denver
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.97 of 100
- Quality
- 73.18
- Improvement activities
- 40
- Cost
- 65.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP.0997509-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Colorado, LLC | Family | Current | Accepting new patients |
| Long Term Care and Rehab Consultants | Current | Accepting new patients | |
| My Medical PC | Current | Accepting new patients |
Locations
12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127
3100 S Sheridan Blvd
Denver, CO 80227
Phone (303) 742-3179
12791 W Alameda Pkwy
Lakewood, CO 80228
Phone (303) 237-5700
7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105
11747 W Ken Caryl Ave
Littleton, CO 80127
Phone (303) 933-5119
7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Interoperability endpoints
- jacalyn.raehl@krogerhealth.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
-
- Family Nurse Practitioner
- Highlands Ranch, CO
- NPI 1538354568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Greenwood Village, CO
- NPI 1669767968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1598408312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12791 W ALAMEDA PKWY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282838",
"telephone_number": "303-968-6062",
"fax_number": "983-203-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12791 W ALAMEDA PKWY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802282838",
"telephone_number": "303-968-6062",
"fax_number": "983-203-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAEHL",
"first_name": "JACALYN",
"middle_name": "MICHELLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "ANP.0997509-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.