Individual provider Active NPI

Sarah Marie Jenik, FNP-C

  • Nurse Practitioner
  • Keenesberg, CO
National Provider Identifier
1841709482
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0993415-NP Issued in CO
Practice address
190 S. Main St.
Keenesberg, CO 80643
Phone
(303) 732-4268
NPI assigned
Sep 27, 2017
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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.0993415-NP CO Primary

Addresses

Primary practice location

190 S. Main St.
Keenesberg, CO 80643

Mailing address

1510 Bison Ridge Dr
Colorado Springs, CO 80919-1541
Phone (970) 551-0138

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
I20180221000430 CO Practitioner - Nurse Practitioner 3870854508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Colorado LLCGroup PAC ID 8921354341, 18 clinicians

Practice addresses (Care Compare)

613 25 Rd
Grand Junction, CO 81505-1590
Phone (970) 245-1500

640 Southpointe CT
Suite 110
Colorado Springs, CO 80906-3884
Phone (719) 867-2070

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
86.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Colorado, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

640 Southpointe Ct
Ste 110
Colorado Springs, CO 80906
Phone (719) 228-9488

613 25 Rd
Grand Junction, CO 81505
Phone (303) 388-5629

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7300 Ranch Road 2222
Bldg 1-200
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: sarah.jenik@epiphanyderm.emadirect.md

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1841709482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BISON RIDGE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191541",
            "telephone_number": "970-551-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S. MAIN ST.",
            "city": "KEENESBERG",
            "state": "CO",
            "postal_code": "80643",
            "telephone_number": "303-732-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENIK",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993415-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.