NPIMap

Individual provider Active NPI

Jennifer Tierney

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1679013700
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992977-NP Issued in CO
Practice address
4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone
(303) 938-5700
Fax
(303) 998-0007
NPI assigned
Mar 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0992977-NP CO
Family Nurse Practitioner 363LF0000X APN.0992977-NP CO Primary

Addresses

Primary practice location

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Mailing address

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone (303) 938-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170420002026 CO Practitioner - Nurse Practitioner 4385920628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

100 Health Park Dr
Louisville, CO 80027-9583
Phone (303) 643-1159

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

6685 Gunpark Dr
Suite 102
Boulder, CO 80301-3343
Phone (303) 415-5199

90 Health Park Dr
Suite 350
Louisville, CO 80027-9742
Phone (303) 925-5068

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Boulder Community Health Current Accepting new patients
Boulder Community Health CurrentSince Sep 21, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Boulder Community Health CurrentSince Sep 21, 2021 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

6685 Gunpark Dr
Ste 102
Boulder, CO 80301
Phone (303) 415-5199

4743 Arapahoe Ave
Ste 202
Boulder, CO 80303
Phone (303) 938-5700

101 Erie Pkwy
Ste 101
Erie, CO 80516
Phone (303) 415-5810

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

90 Health Park Dr
Ste 350
Louisville, CO 80027
Phone (303) 666-7560

Interoperability endpoints

  • Direct secure messaging: jtierney1853760@adventhealth.direct-ci.com

Organizations & group practices 7

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 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1679013700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992977-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992977-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.