DR. JACQUELYN ANN MINAHAN PHD
NPI 1083013700
Psychologist - Clinical in Lafayette, CO
About Dr. Jacquelyn Ann Minahan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELYN ANN MINAHAN PHD (NPI 1083013700) is an individual clinical provider in Lafayette, Colorado, licensed in Colorado (PSY.0005602) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jacquelyn Ann Minahan Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Minahan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
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 Jacquelyn Minahan's NPI number?
The NPI number for Jacquelyn Minahan is 1083013700. It was assigned to this individual provider in the NPPES registry on August 19, 2014.
Where is Jacquelyn Minahan located?
Jacquelyn Minahan practices at 280 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 338-4545.
What is Jacquelyn Minahan's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jacquelyn Minahan enrolled in Medicare?
Yes. Jacquelyn Minahan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jacquelyn Minahan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Minahan reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Minahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyn Minahan was last updated on October 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Dr. Jacquelyn Ann Minahan, PHD · NPI 1083013700
Clinical provider in Lafayette, Colorado. Individual provider, active in the CMS NPPES registry since August 19, 2014.
## Identity
- **NPI:** 1083013700 (Entity type: Individual)
- **Enumerated:** August 19, 2014
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY.0005602 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 EXEMPLA CIR, Lafayette, CO 80026-3370
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 11, 2026
- **Other identifiers:** Medicaid 9000197686 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1083013700) · Data from the CMS NPPES public registry.