Organization Active NPI

Jennifer R Mooney, MSN, Aprn-C, LLC

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1699304667
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
JENNIFER R MOONEY, MSN, APRN-C, LLC
Practice address
3955 E Exposition Ave Ste 316
Denver, CO 80209-5032
Phone
(720) 664-8020
Fax
(303) 552-5720
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Jennifer R Mooney, APRN-CNPI 1952498891
Title
Nurse Practitioner/Owner
Phone
(785) 564-0746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3955 E Exposition Ave Ste 316
Denver, CO 80209-5032

Mailing address

3955 E Exposition Ave Ste 316
Denver, CO 80209-5032
Phone (720) 664-8020

Other identifiers 1

IdentifierTypeStateIssuer
1952498891OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513003091 CO Part B Supplier - Clinic/Group Practice 8426489154 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2192017Jennifer R Mooney3955 E Exposition Ave, Denver, CO 80209Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Locations

3955 E Exposition Ave
Ste 316
Denver, CO 80209
Phone (720) 664-8020

3955 E Exposition Ave
Ste 505
Denver, CO 80209
Phone (720) 519-0678

190 E 9th Ave
Ste 190G
Denver, CO 80203
Phone (805) 705-4892

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1699304667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095032",
            "telephone_number": "720-664-8020",
            "fax_number": "303-552-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095032",
            "telephone_number": "720-664-8020",
            "fax_number": "303-552-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R MOONEY, MSN, APRN-C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "785-564-0746",
        "authorized_official_credential": "APRN-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952498891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.