JENNIFER A CARAGOL MD NPI 1003001256

Family Medicine in Evans, CO

About JENNIFER CARAGOL

Jennifer Caragol is a provider in Evans, CO with more than 15 years of experience. The NPI number assigned to this provider is 1003001256. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Jennifer Caragol is registered with Medicare and accepts claims assignment.

NPI	1003001256 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	JENNIFER A CARAGOL MD
Provider Location Address	2930 11TH AVE EVANS, CO 80620 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	2930 11TH AVE EVANS, CO 80620 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Gender	Female
NPI Entity Type	Individual Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School Name	UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year	2004
Is Sole Proprietor?	No
Is Organization Subpart?	N/A What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date	09-11-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	09-11-2014 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	207Q00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Family Medicine
Type	Allopathic & Osteopathic Physicians
License No.	44132
License State	CO
Taxonomy Description	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906

Get Directions

Mailing Address

JENNIFER A CARAGOL MD
2930 11TH AVE
EVANS, CO
ZIP 80620
Phone: (970) 353-9403
Fax: (970) 353-9906

Medicare Participation

Registered in PECOS?	Yes What is PECOS? PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID	2365538022
PECOS Enrollment ID	I20091203000755
Accepts Medicare Assignment?	Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program/td>	Yes "Electronic Health Records (EHR) Incentive Programs" The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Hospital Affiliations

Hospital Name	CMS Certification Number (CCN)
UNIVERSITY OF COLORADO HOSPITAL AUTHORITY	060024

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
19535279	MEDICAID (05)	CO
CO306525	MEDICARE PIN (08)	CO

Other Providers at the same location

The following 20 providers are registered at the same or nearby location.

NPI	Name / Type	Taxonomy	Address
1093099145	HEATHER RENEE LEE PA Individual	Physician Assistant	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1154558302	MYKA DAWN FISHER NP Individual	Nurse Practitioner (Family)	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1184936627	JESSICA SUSANA NEDOM NP Individual	Nurse Practitioner (Family)	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1225471758	MRS. MARGARET LEE MCMAHON PHARM.D. Individual	Pharmacist	2930 11TH AVE EVANS, CO 80620 (970) 395-7183
1275840670	NIKKI MONTOYA SIDES MD Individual	Pediatrics	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1306005731	DR. LESLEY CLARK BROOKS M.D. Individual	Family Medicine	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1477990331	GARY RUEDIN RPH Individual	Pharmacist	2930 11TH AVE EVANS, CO 80620 (970) 395-9011
1497793061	GLEE FRANCES GILE PA-C Individual	Physician Assistant	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1518301316	JANELL WATKINS Individual	Pharmacist	2930 11TH AVE EVANS, CO 80620 (970) 395-7183
1568779866	JODI W. BOBBITT APN/FNP Individual	Nurse Practitioner (Pediatrics)	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1609210426	CASSANDRA L HERRERA PHARM D Individual	Pharmacist	2930 11TH AVE EVANS, CO 80620 (970) 395-7183
1669716486	AMY K YBARRA BA Individual	Behavioral Analyst	2930 11TH AVE EVANS, CO 80620 (970) 347-2120
1720092737	DR. KENNETH HARRIS KAPLAN M.D. Individual	Pediatrics	2930 11TH AVE EVANS, CO 80620 (970) 395-1130
1740287598	THOMAS LEE DICKEY PA-C Individual	Physician Assistant	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1821332248	ELSA ATCHERLEY MA Individual	Behavioral Analyst	2930 11TH AVE EVANS, CO 80620 (970) 347-2120
1891031043	DALLAS MARK DANIELS RDH Individual	Dental Hygienist	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1891793378	KRISTIE L JAMES PNP Individual	Nurse Practitioner (Pediatrics)	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1922204973	ISAAC MOSES HOTZ M.D. Individual	Family Medicine	2930 11TH AVE EVANS, CO 80620 (970) 353-9403
1952540817	LONNA DEE BLOOM PA-C Individual	Physician Assistant (Medical)	2930 11TH AVE EVANS, CO 80620 (970) 395-1130
1962499681	MRS. VANESSA ANN WILKINS RN Individual	Registered Nurse	2930 11TH AVE EVANS, CO 80620 (970) 353-9403

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