Jennifer L Allison, FNP

Individual provider Active NPI Family Nurse Practitioner · Longmont, CO

NPI 1982863064 · NPPES record last updated Sep 12, 2011

Key facts

NPI
1982863064
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
335527 (NY)
Practice address
2144 N Main St
Longmont, CO 80501-8402
Phone
(720) 494-1740
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100 (group)
Quality
55.37
Improvement activities
40
Cost
47.65

Medicare participation

Medicare fee-for-service enrollment
Enrolled (4 enrollments) in CO, WY, OH, VA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100806000433 CO Practitioner - Nurse Practitioner 9638202997 Reassigns benefits to 2 organizations
I20160718000782 WY Practitioner - Nurse Practitioner 9638202997 Reassigns benefits to 1 organization
I20221215002229 OH Practitioner - Nurse Practitioner 9638202997
I20221220002398 VA Practitioner - Nurse Practitioner 9638202997 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1472WYMDOrthopedic Physical Therapist
335527NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
College Drive Urgent Care LLC Current
since Jun 28, 2016
Accepting new patients
Denver Health and Hospital Authority Current
since Nov 1, 2011
Accepting new patients
Denver Health and Hospital Authority Current
since Nov 1, 2011
Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Medi Horizons Inc Past Accepting new patients

Locations

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

777 Bannock St
Denver, CO 80204

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

4136 Laramie St
Unit B
Cheyenne, WY 82001
Phone (307) 637-2800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335527 NY Yes

Addresses

Primary practice location

2144 N Main St
Longmont, CO 80501-8402

Mailing address

3790 Iris Ave Apt C
Boulder, CO 80301-2021
Phone (303) 993-6774

Other providers in Longmont, CO

All providers in Longmont, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.