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JACQUELINE C. FIELDS M.D.
NPI 1043202385
Specialist in Fort Collins, CO

Active since August 22, 2005Opted out of Medicare · through Dec 13, 2027
315 CANYON AVE, SUITE 1, FORT COLLINS, CO 80521(970) 472-6789(970) 472-6799 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline C. Fields M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE C. FIELDS M.D. (NPI 1043202385) is an individual specialist in Fort Collins, Colorado, licensed in Colorado (33698) and active in the NPI registry since August 2005. She has opted out of Medicare through December 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043202385
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACQUELINE C. FIELDSCredential: M.D.
Location Address315 CANYON AVE, SUITE 1Fort Collins, CO 80521-2677
Mailing Address315 Canyon Ave, Suite 1Fort Collins, CO 80521-2677 · (970) 472-6789 · Fax (970) 472-6799
Phone(970) 472-6789
Fax(970) 472-6799
Sole ProprietorYes
Enumeration DateAugust 22, 2005
Last NPPES UpdateOctober 2, 2013
✔ NPI 1043202385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 33698
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
315 CANYON AVE, Fort Collins, CO 80521
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Other Identifiers 3

Medicare UPINF86554CO
Medicare ID-Type Unspecified522628CO
Medicaid01336981CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline C. Fields M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2017 through December 13, 2027.

Opt-Out Effective DateDecember 13, 2017
Opt-Out In Effect ThroughDecember 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KERRY PETERSON MA, NCC, LPCC
Counselor (Mental Health)
315 CANYON AVE
FORT COLLINS, CO 80521
Larimer County (970) 818-8141
HEALING GARDENS HEALTH CENTER
Family Medicine
315 CANYON AVE, SUITE1
FORT COLLINS, CO 80521
Larimer County (970) 472-6789
DR. SHARON PATRICIA AUSTIN PSY.D.
Psychologist (Clinical)
315 CANYON AVE, SUITE A
FORT COLLINS, CO 80521
Larimer County (970) 493-4093
MRS. MARY H BASHKIN C.M.T.
Massage Therapist
315 CANYON AVE, SUITE A
FORT COLLINS, CO 80521
Larimer County (970) 391-7491
MS. KATHERINE DUCHEN SMITH RN MS CPNP
Nurse Practitioner (Pediatrics)
315 CANYON AVE, SUITE A
FORT COLLINS, CO 80521
Larimer County (970) 482-2136
SHARON P AUSTIN, PSYD
Psychologist (Clinical)
315 CANYON AVE, SUITE A
FORT COLLINS, CO 80521
Larimer County (970) 493-4093
DR. CHRISTINA KUROIWA MD
Family Medicine
315 CANYON AVE, SUITE 1
FORT COLLINS, CO 80521
Larimer County (970) 472-6789
JEN STRATING M.A., BCIA-C
Specialist
315 CANYON AVE
FORT COLLINS, CO 80521
Larimer County (970) 690-2153

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fields's NPI number?

The NPI number for Jacqueline Fields is 1043202385. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Jacqueline Fields located?

Jacqueline Fields practices at 315 Canyon Ave Suite 1, Fort Collins, CO 80521. The listed phone number is (970) 472-6789.

What is Jacqueline Fields's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jacqueline Fields enrolled in Medicare?

No. Jacqueline Fields has opted out of Medicare through December 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacqueline Fields was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.