Individual provider Active NPI

Jennifer Blea

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1760233183
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999856-NP Issued in CO
Practice address
501 S Cherry St # 820
Denver, CO 80246-1325
Phone
(702) 589-4871
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999856-NP CO Primary

Addresses

Primary practice location

501 S Cherry St # 820
Denver, CO 80246-1325

Mailing address

501 S Cherry St # 820
Denver, CO 80246
Phone (702) 589-4871

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808001852 CO Practitioner - Nurse Practitioner 0446797443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in-Home CounselingGroup PAC ID 7214296409, 40 clinicians

Practice addresses (Care Compare)

501 S Cherry St
Suite 820
Denver, CO 80246-1325
Phone (702) 589-4871

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0999856-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in-Home Counseling CurrentSince Jul 26, 2024 Accepting new patients

Locations

501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • Direct secure messaging: jennifer.blea.1@24259.direct.athenahealth.com

Organizations & group practices 1

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1760233183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST # 820",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80246",
            "telephone_number": "702-589-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S CHERRY ST # 820",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461325",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEA",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999856-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.