Jennifer S. Betz, MD
Individual provider Active NPI Pediatrics Physician · Brighton, CO
NPI 1962587600 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1962587600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 41297 (CO)
- Practice address
- 859 S 4TH Ave
Brighton, CO 80601-3205 - Phone
- (303) 338-4545
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Colorado Permanente Medical Group PC
Practice addresses (Care Compare)
10350 E Dakota Ave
Denver, CO 80247-1314
10350 E Dakota Avenue B
Kaiser Permanente High
Denver, CO 80247-1314
Phone (303) 338-4545
10350 E Dakota Avenue C
Kaiser Permanente Highline Chemical
Denver, CO 80247-1314
Phone (303) 338-4545
859 S 4TH Ave
Kaiser Permanente Brighton Medical
Brighton, CO 80601-3205
Phone (303) 338-4545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701001046 | CO | Practitioner - Pediatric Medicine | 1850378480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C52920 | CA | MD | Pediatrics Physician |
| 41297 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Pediatrics | Current |
Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
859 S 4th Ave
Brighton, CO 80601
Phone (303) 457-6554
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41297 | CO | Yes |
| Pediatrics Physician | 208000000X | C52920 | CA |
Addresses
Primary practice location
859 S 4TH Ave
Brighton, CO 80601-3205
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02871033 | Medicaid | CO | |
| 022009 | Other | CO | KAISER COMMERCIAL NUMBER |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Brighton, CO
- Lisa Kathryn Bennett
- Sarah Benning
- Triston Berger
- Hayley Rose Bermudez
- Berrelez Counseling LLC
- Kerry Slade Bigelow
- Alois Joseph Binder III
- Hampton Bisalski
- Martina Bjorhus
- Carolyn Lastra Black
All providers in Brighton, CO · Pediatrics Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.