Jerrilu Atkins, M.D.
Individual provider Active NPI Family Medicine Physician · Vail, CO
NPI 1811970239 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1811970239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35763 (CO)
- Practice address
- 180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038 - Phone
- (970) 926-6340
- Fax
- (970) 926-6348
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Mountain Medical, LLC
Practice addresses (Care Compare)
180 S Frontage Rd W
Suite 5800
Vail, CO 81657-5038
Phone (970) 926-6340
Hospital & facility affiliations
- Vail Health Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100621000336 | CO | Practitioner - Family Practice | 7517097405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35763 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Mountain Medical, LLC | Family Medicine | Current |
Accepting new patients |
| Colorado Mountain Medical, LLC | Current |
Accepting new patients | |
| Colorado Mountain Medical, LLC | Current |
Accepting new patients |
Locations
377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650
377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800
377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650
322 Beard Creek Rd
Ste 200
Edwards, CO 81632
Phone (970) 328-1650
108 S Frontage Rd W
Ste 101
Vail, CO 81657
180 S Frontage Rd W
Ste 5800
Vail, CO 81657
181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225
Interoperability endpoints
- jerriluatkins@coloradomo.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35763 | CO | Yes |
Addresses
Primary practice location
180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Mailing address
PO Box 4330
Avon, CO 81620-4330
Phone (970) 845-2903
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01357631 | Medicaid | CO |
Other providers in Vail, CO
- Apex Dental, PC
- John Michael Apostolakos
- Lance Arsenault
- Kelly Ashnault
- Lindsay Aston
- Toni Axelrod
- Jonathon David Backus
- Faith Baer
- Carly Jill Baker
- Katheryn Baker
All providers in Vail, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.