Jill Clarris Henry, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0999081-NP Issued in CO

Practice address

5390 N Academy Blvd Ste 150
Colorado Springs, CO 80918-4064

Phone

(303) 741-0990

Fax

(303) 741-0991

NPI assigned

Oct 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renue U Medspa PCGroup PAC ID 2769878313, 3 clinicians

Front Range Wound Care PCGroup PAC ID 5496133951, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Front Range Wound Care PC

  • Allergy & Immunology Physician
  • Centennial, CO
  • NPI 1881341816
  Medicare reassignment Care Compare group NPD
• Renue U Medspa PC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1811658289
  Medicare reassignment Care Compare group NPD
• Renue U Medspa PC

  • Durable Medical Equipment & Medical Supplies
  • Colorado Springs, CO
  • NPI 1174336127
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1942081989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MOUNTAIN PASS VW",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809067779",
            "telephone_number": "253-651-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5390 N ACADEMY BLVD STE 150",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184064",
            "telephone_number": "303-741-0990",
            "fax_number": "303-741-0991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463 Mountain Pass Vw",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809067779",
            "country_code": "US",
            "telephone_number": "253-651-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JILL",
        "middle_name": "CLARRIS",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0999081-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry III, DDS
• James E. Henry, DDS PC
• Jason Patrick Henry, RBT
• Jeffrey Lorence Henry, B.S., M.S., D.C.
• Jennifer Jo Henry, O.D.
• Kimberly Henry
• Kristen Henry
• Laura Henry, MD
• Nathan E. Henry, PT, DPT, CSCS
• Paige Henry

• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.