Individual provider Active NPI

Robert Facer Jensen, NP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1760853600
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0991980 Issued in CO
Practice address
1235 Lake Plaza Dr Ste 220
Colorado Springs, CO 80906-3556
Phone
(719) 292-5051
Fax
(719) 306-0183
NPI assigned
Oct 19, 2015
Last updated
Mar 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0991980 CO
Family Nurse Practitioner 363LF0000X 0991980 CO Primary

Addresses

Primary practice location

1235 Lake Plaza Dr Ste 220
Colorado Springs, CO 80906-3556

Mailing address

1235 Lake Plaza Dr Ste 220
Colorado Springs, CO 80906-3556
Phone (719) 292-5051

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
I20210929001961 CO Practitioner - Nurse Practitioner 9335546605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Health Family PracticeGroup PAC ID 9537577762, 3 clinicians

Practice addresses (Care Compare)

1235 Lake Plaza Dr
Suite 220
Colorado Springs, CO 80906-3556
Phone (719) 292-5051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0991980COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Restore Health Family Practice CurrentSince Mar 1, 2025 Accepting new patients

Locations

1235 Lake Plaza Dr
Ste 220
Colorado Springs, CO 80906
Phone (719) 292-5051

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1760853600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063556",
            "telephone_number": "719-292-5051",
            "fax_number": "719-306-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAKE PLAZA DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063556",
            "telephone_number": "719-292-5051",
            "fax_number": "719-306-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "ROBERT",
        "middle_name": "FACER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-19",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0991980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.