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JENNIFER BEAUDOIN
NPI 1215678636
Dentist - General Practice in Colorado Springs, CO

Active since April 07, 2022PECOS Enrolled
2828 INTERNATIONAL CIR STE 100, COLORADO SPRINGS, CO 80910(719) 632-5700 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2025, May 23, 2023, Apr 14, 2022 and 1 more (4 updates tracked since 2022).

About Jennifer Beaudoin NPPES

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

JENNIFER BEAUDOIN (NPI 1215678636) is an individual general practice provider in Colorado Springs, Colorado, licensed in Colorado (DEN.00205387) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215678636
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJENNIFER BEAUDOIN
Location Address2828 INTERNATIONAL CIR STE 100Colorado Springs, CO 80910-3127
Mailing Address2828 International Cir Ste 100Colorado Springs, CO 80910-3127 · (719) 632-5700
Phone(719) 632-5700
Sole ProprietorNo
Enumeration DateApril 7, 2022
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1215678636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CO · DEN.00205387
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 00205387 (CO)
2828 INTERNATIONAL CIR STE 100, Colorado Springs, CO 80910
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Beaudoin 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.

Medicare Billing Reassignment

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

Peak Vista Community Health Centers
4.0 mi
Federally Qualified Health Center (FQHC)
3205 N ACADEMY BLVD, SUITE 130
Colorado Springs, CO 80917
  • Reassigned Medicare billing, Colorado enrollment
  • 355 clinicians in this Medicare group
NPI 1730166034 (719) 632-5700

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 80910 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
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

MITCHYL ELLEN HEDMAN RDH
Dental Hygienist
2828 INTERNATIONAL CIR STE 100
COLORADO SPRINGS, CO 80910
El Paso County (719) 475-0783
DR. ANDY VON BERGEN DDS
Dentist (General Practice)
2828 INTERNATIONAL CIR STE 100
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-5700
MARY KIM D.M.D.
Dentist
2828 INTERNATIONAL CIR STE 100
COLORADO SPRINGS, CO 80910
El Paso County (719) 344-6565
ALEXANDRA MARIE KLEIN RDH
Dental Hygienist
2828 INTERNATIONAL CIR STE 100
COLORADO SPRINGS, CO 80910
El Paso County (719) 632-5700
BELINDA MARSH
Dental Hygienist
2828 INTERNATIONAL CIR STE 100
COLORADO SPRINGS, CO 80910
El Paso County (719) 344-6331

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 Beaudoin's NPI number?

The NPI number for Jennifer Beaudoin is 1215678636. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Jennifer Beaudoin located?

Jennifer Beaudoin practices at 2828 International Cir Ste 100, Colorado Springs, CO 80910. The listed phone number is (719) 632-5700.

What is Jennifer Beaudoin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jennifer Beaudoin enrolled in Medicare?

Yes. Jennifer Beaudoin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Beaudoin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Beaudoin reassigns Medicare benefits to Peak Vista Community Health Centers (Colorado Springs, 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 Jennifer Beaudoin'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 Jennifer Beaudoin was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.