Individual provider Active NPI

Jennifer Rugeon Mooney, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1952498891
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0005841.NP Issued in CO
Practice address
3955 E Exposition Ave Ste 316
Denver, CO 80209-5032
Phone
(720) 664-8020
Fax
(303) 552-5720
NPI assigned
Oct 10, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 44256 KS
Nurse Practitioner 363L00000X APN.0005841.NP CO Primary
Family Nurse Practitioner 363LF0000X RXP-8147 CO
Family Nurse Practitioner 363LF0000X APN.0005841.NP CO

Addresses

Primary practice location

3955 E Exposition Ave Ste 316
Denver, CO 80209-5032

Mailing address

3955 E Exposition Ave Ste 316
Denver, CO 80209-5032
Phone (720) 664-8020

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
I20111220000580 CO Practitioner - Nurse Practitioner 6709052830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer R Mooney, MSN, Aprn-C, LLCGroup PAC ID 8426489154, 2 clinicians

Practice addresses (Care Compare)

3955 E Exposition Ave
Suite 316
Denver, CO 80209-5032
Phone (720) 664-8020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44256KSMDNurse Practitioner
APN.0005841.NPCOMDFamily Nurse Practitioner
RXP-8147COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer R Mooney, MSN, Aprn-C, LLC Family CurrentSince Apr 1, 2020 Accepting new patients

Locations

3955 E Exposition Ave
Ste 316
Denver, CO 80209
Phone (720) 664-8020

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1952498891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095032",
            "telephone_number": "720-664-8020",
            "fax_number": "303-552-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 E EXPOSITION AVE STE 316",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802095032",
            "telephone_number": "720-664-8020",
            "fax_number": "303-552-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JENNIFER",
        "middle_name": "RUGEON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44256",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0005841.NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXP-8147",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0005841.NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.