JACKI SUE DEGOLYER FNP
NPI 1356912497
Nurse Practitioner - Primary Care in Denver, CO
About Jacki Sue Degolyer Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKI SUE DEGOLYER FNP (NPI 1356912497) is an individual primary care provider in Denver, Colorado, licensed in North Carolina (5019545) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacki Sue Degolyer Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacki Degolyer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80210
- Reassigned Medicare billing, Colorado enrollment
- 145 clinicians in this Medicare group
Highlands Ranch, CO 80126
- Reassigned Medicare billing, Colorado enrollment
- 205 clinicians in this Medicare group
Boiling Springs, NC 28017
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- Also billed through NPI 1629197744 (South Carolina)
- 673 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
DENVER, CO 80202
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 Jacki Degolyer's NPI number?
The NPI number for Jacki Degolyer is 1356912497. It was assigned to this individual provider in the NPPES registry on July 9, 2021.
Where is Jacki Degolyer located?
Jacki Degolyer practices at 999 18th St Ste 3000, Denver, CO 80202. The listed phone number is (888) 731-8994.
What is Jacki Degolyer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jacki Degolyer enrolled in Medicare?
Yes. Jacki Degolyer is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacki Degolyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacki Degolyer reassigns Medicare benefits to 3 organizations: Onpoint Medical Group, LLC (Denver, CO), The Little Clinic Of Colorado, LLC (Highlands Ranch, CO) and Caromont Medical Group Inc (Boiling Springs, NC). Each 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 Jacki Degolyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacki Degolyer accept?
Health plans from Blue Cross and Blue Shield of NC and Select Health list Jacki Degolyer 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 Jacki Degolyer was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jacki Sue Degolyer, FNP · NPI 1356912497
Primary Care physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1356912497 (Entity type: Individual)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 5019545 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 999 18TH ST STE 3000, Denver, CO 80202-2449
- **Phone:** (888) 731-8994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Onpoint Medical Group, LLC (NPI 1629174826, Denver, CO); The Little Clinic Of Colorado, LLC (NPI 1538354568, Highlands Ranch, CO); Caromont Medical Group Inc (NPI 1205079290, Boiling Springs, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 15, 2025
- **Other identifiers:** Other 0175594 (CO); Other 0996679-NP (CO); Other 227042 (CO); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356912497) · Data from the CMS NPPES public registry.