1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Nurse Practitioner
  6. NPI Profile

JENNIFER E. DERAAD APRN
NPI 1063793289
Nurse Practitioner - Psychiatric/Mental Health in Fort Collins, CO

Active since September 01, 2011
1136 E STUART ST STE 202, FORT COLLINS, CO 80525(970) 829-1129 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer E. Deraad Aprn NPPES

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

JENNIFER E. DERAAD APRN (NPI 1063793289) is an individual psychiatric/mental health provider in Fort Collins, Colorado, licensed in Colorado (APN0995434) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1063793289
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER E. DERAADCredential: APRN
Location Address1136 E STUART ST STE 202Fort Collins, CO 80525-1195
Mailing Address1136 E Stuart St Ste 202Fort Collins, CO 80525-1195 · (970) 829-1129
Phone(970) 829-1129
Sole ProprietorYes
Enumeration DateSeptember 1, 2011
Last NPPES UpdateJuly 22, 2020
NPPES CertifiedJuly 22, 2020
✔ NPI 1063793289 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 · APN0995434
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 12614-NP (OH)
1136 E STUART ST STE 202, Fort Collins, CO 80525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Jennifer Deraad's NPI number?

The NPI number for Jennifer Deraad is 1063793289. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Jennifer Deraad located?

Jennifer Deraad practices at 1136 E Stuart St Ste 202, Fort Collins, CO 80525. The listed phone number is (970) 829-1129.

What is Jennifer Deraad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Jennifer Deraad accept?

Health plans from CareSource list Jennifer Deraad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Deraad was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.