Individual provider Active NPI

Jennifer Lynn Wenzell, D.O.

  • Maternal & Fetal Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1730169509
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
0056409 Issued in CO
Practice address
6071 E Woodmen Rd
Ste 440
Colorado Springs, CO 80923-2614
Phone
(719) 622-3442
Fax
(719) 622-3400
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 0056409 CO Primary

Addresses

Primary practice location

6071 E Woodmen Rd
Ste 440
Colorado Springs, CO 80923-2614

Mailing address

6071 E Woodmen Rd
Ste 440
Colorado Springs, CO 80923-2614
Phone (719) 622-3442

Other identifiers 1

IdentifierTypeStateIssuer
30830061MedicaidCO

Other names 1

  • Dr. Jennifer Lynn Gotkin Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001035 CO Practitioner - Obstetrics/Gynecology 2365624301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 776-8040

6071 E Woodmen Rd
Colorado Springs, CO 80923-2614

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0056409COMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Aug 14, 2018 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 14, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6071 E Woodmen Rd
Ste 440
Colorado Springs, CO 80923
Phone (719) 571-4590

6071 E Woodmen Rd
Ste 425
Colorado Springs, CO 80923
Phone (719) 484-8930

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1730169509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "STE 440",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232614",
            "telephone_number": "719-622-3442",
            "fax_number": "719-622-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 E WOODMEN RD",
            "address_2": "STE 440",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809232614",
            "telephone_number": "719-622-3442",
            "fax_number": "719-622-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZELL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "0056409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30830061",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOTKIN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.