Individual provider Active NPI

Jill K. Erlenbusch, N.P.

  • Nurse Practitioner
  • Golden, CO
National Provider Identifier
1891028288
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP4008 Issued in CO
Practice address
5920 McIntyre St
Rocky Mountain Senior Care
Golden, CO 80403-7445
Phone
(303) 525-7250
Fax
(303) 531-5088
NPI assigned
Sep 16, 2009
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 NP4008 CO Primary

Addresses

Primary practice location

5920 McIntyre St
Rocky Mountain Senior Care
Golden, CO 80403-7445

Mailing address

5920 McIntyre St
Rocky Mountain Senior Care
Golden, CO 80403-7445
Phone (303) 525-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP4008COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 Accepting new patients
Rocky Mountain Clinics LLC CurrentSince Dec 16, 2022 Accepting new patients

Locations

1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705

Organizations & group practices 2

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1891028288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "address_2": "ROCKY MOUNTAIN SENIOR CARE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-525-7250",
            "fax_number": "303-531-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "address_2": "ROCKY MOUNTAIN SENIOR CARE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-525-7250",
            "fax_number": "303-531-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLENBUSCH",
        "first_name": "JILL",
        "middle_name": "K.",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "NP4008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.