JENNIFER TIERNEY
NPI 1679013700
Nurse Practitioner - Family in Boulder, CO

Q: What is Jennifer Tierney's NPI number?

The NPI number for Jennifer Tierney is 1679013700. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Q: What is Jennifer Tierney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Tierney was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 March 08, 2017PECOS EnrolledAccepts Medicare Assignment

4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303(303) 938-5700(303) 998-0007 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jennifer Tierney NPPES

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

JENNIFER TIERNEY (NPI 1679013700) is an individual family provider in Boulder, Colorado, licensed in Colorado (APN.0992977-NP) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1679013700

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER TIERNEY

Location Address4743 ARAPAHOE AVE STE 202Boulder, CO 80303-1128

Mailing Address4743 Arapahoe Ave Ste 202Boulder, CO 80303-1128 · (303) 938-5700 · Fax (303) 998-0007

Phone(303) 938-5700

Fax(303) 998-0007

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 8, 2017

Last NPPES UpdateMay 10, 2022

NPPES CertifiedMay 10, 2022

✔ NPI 1679013700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.0992977-NP

Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0992977-NP (CO)

4743 ARAPAHOE AVE STE 202, Boulder, CO 80303

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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

Jennifer Tierney 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.

PECOS PAC ID4385920628

PECOS Enrollment IDI20170420002026

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 Reassignments

Medicare enrollment records show Jennifer Tierney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boulder Community Health

Same address

Medical Specialty

4743 ARAPAHOE AVE STE 201C
Boulder, CO 80303

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

NPI 1346865896 (303) 442-2150

Portercare Adventist Health System

1.8 mi

Family Medicine

805 S BROADWAY ST, SUITE 103
Boulder, CO 80305

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

NPI 1962726927 (303) 269-2560

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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

71 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services37 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

22 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

18 services18 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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 20

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

TARA ADAMS MSPAS, PA-C

Physician Assistant (Surgical)