JAKOB NELSEN RN
NPI 1487415113
Nurse Practitioner - Psychiatric/Mental Health in Niwot, CO

Q: What is Jakob Nelsen's NPI number?

The NPI number for Jakob Nelsen is 1487415113. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Q: What is Jakob Nelsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jakob Nelsen was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 19, 2024PECOS Enrolled

6897 PAIUTE AVE STE 5, NIWOT, CO 80503(303) 652-4196 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jakob Nelsen Rn NPPES

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

JAKOB NELSEN RN (NPI 1487415113) is an individual psychiatric/mental health provider in Niwot, Colorado, licensed in Colorado (APN.1000279-NP) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Aurora (2022).

NPPES Registry Identity

NPI1487415113

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJAKOB NELSENCredential: RN

Location Address6897 PAIUTE AVE STE 5Niwot, CO 80503-7169

Mailing Address6897 Paiute Ave Ste 5Niwot, CO 80503-7169 · (303) 652-4196

Phone(303) 652-4196

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2022

Enumeration DateJanuary 19, 2024

Last NPPES UpdateFebruary 23, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1487415113 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 · APN.1000279-NP

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1683337 (CO)

6897 PAIUTE AVE STE 5, Niwot, CO 80503

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Secondary Practice Location 1

Location 12130 Stout StDenver, CO 80205-2827 · Phone (303) 293-2220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jakob Nelsen Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800393208

PECOS Enrollment IDI20251010001462

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 Jakob Nelsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amavi Integrative Mental Wellness LLC

Same address

Psychiatric/Mental Health

6897 PAIUTE AVE STE 5
Niwot, CO 80503

Reassigned Medicare billing, Colorado enrollment
40 clinicians in this Medicare group

NPI 1841823994 (303) 960-2269

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 80503 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

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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 12

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

MICHAEL PHILLIP GARZA PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)