Active NPI
Jeanne K Stotler, NP
- Nurse Practitioner
- Greenwood Village, CO
National Provider Identifier
1912916784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 96196
- Practice address
- 8200 E Belleview Ave Ste 102
Greenwood Village, CO 80111-2804 - Phone
- (303) 761-9190
- Fax
- (303) 761-6278
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 96196 | CO | Primary |
Addresses
Primary practice location
8200 E Belleview Ave Ste 102
Greenwood Village, CO 80111-2804
Mailing address
10700 E Geddes Ave
# 200
Englewood, CO 80112-3800
Phone (303) 761-9190
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79709273 | Medicaid | CO | |
| P00111016 | Other | CO | RAILROAD MEDICARE MIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Imaging of Nebraska, LLC | Past | Accepting new patients | |
| Radiology Imaging Associates, PC | Past | Accepting new patients | |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Past | Accepting new patients | |
| Diagnostic Imaging Associates | Past | Accepting new patients |
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.
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1447299425
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1679513196
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1184869901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1912916784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 E GEDDES AVE",
"address_2": "# 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801123800",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 E BELLEVIEW AVE STE 102",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801112804",
"telephone_number": "303-761-9190",
"fax_number": "303-761-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTLER",
"first_name": "JEANNE",
"middle_name": "K",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "96196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79709273",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE MIC",
"identifier": "P00111016",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.