JENNIFER WORTMANN NP
NPI 1053682385
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since January 18, 2012PECOS Enrolled
1600 W 24TH ST STE 100, PUEBLO, CO 81003(719) 320-0481 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2023, Oct 16, 2016 (2 updates tracked since 2016).

About Jennifer Wortmann Np NPPES

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

JENNIFER WORTMANN NP (NPI 1053682385) is an individual psychiatric/mental health provider in Pueblo, Colorado, licensed in Colorado (0991123) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053682385
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER WORTMANNCredential: NP
Location Address1600 W 24TH ST STE 100Pueblo, CO 81003-1411
Mailing Address1600 W 24th StPueblo, CO 81003-1411 · (719) 546-4000
Sole ProprietorNo
Enumeration DateJanuary 18, 2012
Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
NPI 1053682385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CO · 0991123
Also ListedRegistered NurseTaxonomy 163W00000X · License 161849 (CO)
1600 W 24TH ST STE 100, Pueblo, CO 81003

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Wortmann Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053682385, enumerated as an "individual" on January 18, 2012.

The provider is located at 1600 W 24TH ST STE 100 PUEBLO, CO 81003 and the phone number is (719) 320-0481.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.