NPIMap

Individual provider Active NPI

Regan Nichole Jernigan, MD

  • Emergency Medicine Physician
  • Lafayette, CO
National Provider Identifier
1952592982
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
56377 Issued in CO
Practice address
200 Exempla Cir
Suite 10028
Lafayette, CO 80026-3370
Phone
(303) 689-4444
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD435654 PA
Emergency Medicine Physician 207P00000X MT188057 PA
Emergency Medicine Physician 207P00000X 44656 KY
Emergency Medicine Physician 207P00000X 56377 CO Primary

Addresses

Primary practice location

200 Exempla Cir
Suite 10028
Lafayette, CO 80026-3370

Mailing address

PO Box 351750
Suite 150
Westminster, CO 80035-1750
Phone (303) 484-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160525001820 CO Practitioner - Emergency Medicine 8123176047 Reassigns benefits to 5 organizations
I20171012002890 WY Practitioner - Emergency Medicine 8123176047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7000

4943 Hwy 52
Suite 100
Dacono, CO 80514-9100
Phone (303) 925-4840

7000 E Hampden Ave
Denver, CO 80224-3012
Phone (330) 925-4199

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56377COMDEmergency Medicine Physician
44656KYMDEmergency Medicine Physician
MT188057PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Emergency Physicians PC Emergency Medicine Current Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince Jun 10, 2019 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Jun 10, 2019 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Premier Emergency Services, Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Boulder Emergency Physicians PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Summit Medical Group, LLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

16320 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4560

4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

4943 State Highway 52
Ste 100
Erie, CO 80514
Phone (303) 925-4840

760 Warner Dr
Golden, CO 80401
Phone (303) 925-4360

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

3280 S Wadsworth Blvd
Lakewood, CO 80227
Phone (303) 649-3620

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

9949 S Oswego St
Parker, CO 80134
Phone (303) 925-4700

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1952592982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351750",
            "address_2": "SUITE 150",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800351750",
            "telephone_number": "303-484-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXEMPLA CIR",
            "address_2": "SUITE 10028",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263370",
            "telephone_number": "303-689-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "REGAN",
        "middle_name": "NICHOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD435654",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MT188057",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "44656",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "56377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.