Individual provider Active NPI

Jaimie C Dirks, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1629575345
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0103879 Issued in CO
Practice address
1762 Hoffman Dr Ste 101
Loveland, CO 80538-4292
Phone
(970) 235-0615
NPI assigned
Apr 9, 2018
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112453 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0103879 CO Primary
Family Nurse Practitioner 363LF0000X 37741.1750 WY
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 0993371-NP CO

Addresses

Primary practice location

1762 Hoffman Dr Ste 101
Loveland, CO 80538-4292

Mailing address

1762 Hoffman Dr Ste 101
Loveland, CO 80538-4292
Phone (970) 235-0615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180817000875 NE Practitioner - Nurse Practitioner 7315296787 Reassigns benefits to 1 organization
I20250421001911 CO Practitioner - Nurse Practitioner 7315296787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Action Partnership of Western NebraskaGroup PAC ID 2860399714, 18 clinicians

Practice addresses (Care Compare)

3350 10TH St
Gering, NE 69341-1724

975 Crescent Dr
Gering, NE 69341-1712
Phone (308) 632-2540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0993371-NPCOMDFamily Nurse Practitioner
112453NEMDFamily Nurse Practitioner
37741.1750WYMDFamily Nurse Practitioner
0103879COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Health Consultants LLC Single Specialty CurrentSince Jun 14, 2022 Accepting new patients

Locations

1762 Hoffman Dr
Ste 101
Loveland, CO 80538
Phone (970) 235-0615

Interoperability endpoints

  • Direct secure messaging: jaimie.dirks.p1@direct.capwn.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1629575345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 HOFFMAN DR STE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384292",
            "telephone_number": "970-235-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 HOFFMAN DR STE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384292",
            "telephone_number": "970-235-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "JAIMIE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112453",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0103879",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "37741.1750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993371-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.