Jenna Blais

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0999514-NP Issued in CO

Practice address

1102 Fenwick Dr
Fort Collins, CO 80524-6479

Phone

(970) 888-2882

NPI assigned

Feb 22, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Fort Collins, CO
  • NPI 1295450294
  Medicare reassignment Care Compare group NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Gunnison, CO
  • NPI 1073230868
  NPD
• Rocky Mountain Clinics, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Alamosa, CO
  • NPI 1285468546
  NPD
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Northglenn, CO
  • NPI 1205552254
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Durango, CO
  • NPI 1245956143
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1295451185
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Englewood, CO
  • NPI 1386360212
  NPD (past)
• Rocky Mountain Clinics LLC

  • Family Medicine Physician
  • Cortez, CO
  • NPI 1417651035
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Pueblo, CO
  • NPI 1417673021
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Wellington, CO
  • NPI 1477261154
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Golden, CO
  • NPI 1578289476
  NPD (past)
• Rocky Mountain Clinics LLC

  • Addiction Medicine (Family Medicine) Physician
  • Longmont, CO
  • NPI 1578289518
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619733185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 FENWICK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "80524",
            "telephone_number": "970-888-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 FENWICK DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805246479",
            "telephone_number": "970-888-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Elizabeth St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244044",
            "country_code": "US",
            "telephone_number": "970-493-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIS",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999514-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Scott Blackwood, RN
• Stephen L Blad, PHD
• Catherine M Bladow, MSCCCSLP BCBA
• Dominique Cole Bladow
• Julie Blair, M.N.S. CCC-SLP
• Suzanne Blaising, PHD
• Kimberly Blake, CNM, MSN
• Tina Marie Blake, LMFT
• Unique L Blake
• Jordan B Blakely, RMT

• Psychiatric/Mental Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.

Verify at the official NPI Registry.