Active NPI
Jamie Lyn Engel
- Orthopaedic Trauma Physician
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- DR.0064307
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2745 - Phone
- (718) 595-7780
- NPI assigned
- Mar 18, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | DR.0064307 | CO | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2745
Mailing address
1565 Charmwood Dr
Colorado Springs, CO 80906-7704
Phone (716) 435-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2904 Bell St
Suite a
Zanesville, OH 43701-1721
Phone (740) 586-6828
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0064307 | CO | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Past | Accepting new patients | |
| Genesis Primary Care Physicians LLC | Past | Accepting new patients | |
| Genesis Medical Group LLC | Past | Accepting new patients |
Locations
3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
Interoperability endpoints
- jamie.engel@943864171921412.direct.elationemr.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Zanesville, OH
- NPI 1063663433
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1790061513
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1669714671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 CHARMWOOD DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067704",
"telephone_number": "716-435-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "718-595-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGEL",
"first_name": "JAMIE",
"middle_name": "LYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CO",
"license": "DR.0064307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.