Individual provider Active NPI

Jennifer Lucero, FNP-C

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1831791011
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0995974-NP Issued in CO
Practice address
4704 Harlan St Ste 505
Denver, CO 80212-7464
Phone
(303) 747-3070
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0995974-NP CO Primary

Addresses

Primary practice location

4704 Harlan St Ste 505
Denver, CO 80212-7464

Mailing address

4704 Harlan St Ste 505
Denver, CO 80212-7464
Phone (303) 747-3070

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Denver

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201223002168 CO Practitioner - Nurse Practitioner 1658783204 Reassigns benefits to 1 organization
I20231108001413 NM Practitioner - Nurse Practitioner 1658783204 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0995974-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 24, 2024 Accepting new patients
Ultimate Health Medical Clinic Inc Nurse Practitioner CurrentSince May 15, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 25, 2023 Accepting new patients
Ultimate Health Medical Center Inc Nurse Practitioner PastSince May 15, 2021 Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7735 W Long Dr
Unit 12
Littleton, CO 80123
Phone (303) 904-0331

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1831791011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST STE 505",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127464",
            "telephone_number": "303-747-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST STE 505",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127464",
            "telephone_number": "303-747-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCERO",
        "first_name": "JENNIFER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995974-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "address_1": "4704 Harlan St Ste 505",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802127464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.