Individual provider Active NPI

Jacalyn Michelle Raehl, FNP-C

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1598408312
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ANP.0997509-NP Issued in CO
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

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614001417 CO Practitioner - Nurse Practitioner 8820477375 Reassigns benefits to 3 organizations

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
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Long Term Care and Rehab ConsultantsGroup PAC ID 5294733861, 58 clinicians

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 Hospice, Greenwood Village, CO, CCN 061576

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
73.18
Improvement activities
40
Cost
65.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANP.0997509-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Colorado, LLC Family CurrentSince May 18, 2022 Accepting new patients
Long Term Care and Rehab Consultants CurrentSince Jun 26, 2023 Accepting new patients
My Medical PC CurrentSince Dec 8, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.