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DR. JENNA MICHAL KANNER
NPI 1144921008
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since March 16, 2023PECOS Enrolled
12631 E 17TH AVE STE F496, AURORA, CO 80045(303) 724-9700 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2026, Mar 16, 2023 (2 updates tracked since 2023).

About Dr. Jenna Michal Kanner NPPES

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

DR. JENNA MICHAL KANNER (NPI 1144921008) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Maryland School Of Medicine (2024).

NPPES Registry Identity

NPI1144921008
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JENNA MICHAL KANNER
Location Address12631 E 17TH AVE STE F496Aurora, CO 80045-2527
Mailing Address12631 E 17th Ave Ste F496Aurora, CO 80045-2527 · (303) 724-9700
Phone(303) 724-9700
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1144921008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0078064 (CO)
12631 E 17TH AVE STE F496, Aurora, CO 80045
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1655 W Baltimore StBaltimore, MD 21201-1509 · Phone (410) 706-3100
Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Other Identifiers 1

Medicaid9000231359CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenna Michal Kanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335683267
PECOS Enrollment IDI20260901001865
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Kanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Colorado Permanente Medical Group, P.C.
2.8 mi
Internal Medicine
10350 E DAKOTA AVE
Denver, CO 80247
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Colorado Permanente Medical Group PC
  • 1,715 clinicians in this Medicare group
NPI 1760599724 (303) 338-4545

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

CALLIE BARTKOWIAK
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (303) 724-9700
MILLER J BALLEY
Student in an Organized Health Care Education/Training Program
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (720) 553-2696
MEGHAN WALLACE DO
General Practice
12631 E 17TH AVE STE F496
AURORA, CO 80045
Adams County (720) 553-2696

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 Jenna Kanner's NPI number?

The NPI number for Jenna Kanner is 1144921008. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Jenna Kanner located?

Jenna Kanner practices at 12631 E 17th Ave Ste F496, Aurora, CO 80045. The listed phone number is (303) 724-9700.

What is Jenna Kanner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jenna Kanner enrolled in Medicare?

Yes. Jenna Kanner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jenna Kanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Kanner 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 Jenna Kanner'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 Jenna Kanner was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.