Active NPI
Jolene Lyn Nawrocki, DNP, FNP
- Family Nurse Practitioner
- Wheat Ridge, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0993674
- Practice address
- 5790 W 39TH Place
Wheat Ridge, CO 80212 - Phone
- (720) 299-0247
- NPI assigned
- May 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0993674 | CO | Primary |
Addresses
Primary practice location
5790 W 39TH Place
Wheat Ridge, CO 80212
Mailing address
5790 W 39TH PL
Wheat Ridge, CO 80212-7259
Phone (303) 945-6819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0993674 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moazam PA | Current | Accepting new patients | |
| Ultimate Health Medical Clinic Inc | Current | Accepting new patients | |
| Moazam PA | Current | Accepting new patients | |
| IHS Medical Group PC | Current | Accepting new patients | |
| Ultimate Health Medical Center Inc | Past | Accepting new patients |
Locations
10921 Wilshire Blvd
Ste 801
Los Angeles, CA 90024
Phone (310) 209-0425
10850 Wilshire Blvd
Ste 1130
Los Angeles, CA 90024
Phone (310) 209-0425
7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331
1700 W 100th Ave
Ste 101
Thornton, CO 80260
Phone (720) 515-9112
1700 W 100th Ave
Ste 100
Thornton, CO 80260
14470 Horizon Blvd
Ste A
Horizon City, TX 79928
14470 Horizon Blvd
Ste Aj
Horizon City, TX 79928
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Thornton, CO
- NPI 1699043166
-
- Chiropractor
- Littleton, CO
- NPI 1164878021
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1164999306
-
- Internal Medicine Physician
- Pasadena, TX
- NPI 1003465915
-
- Nurse Practitioner
- Littleton, CO
- NPI 1609154145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1821587908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5790 W 39TH PL",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "802127259",
"telephone_number": "303-945-6819",
"fax_number": "720-864-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 W 39TH PLACE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "80212",
"telephone_number": "720-299-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWROCKI",
"first_name": "JOLENE",
"middle_name": "LYN",
"credential": "DNP, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0993674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.