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MR. FREDERICK JENNINGS PA-C
NPI 1679782791
Physician Assistant - Surgical in Colorado Springs, CO

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
525 N FOOTE AVE, STE 302, COLORADO SPRINGS, CO 80909(719) 365-5445(719) 365-5530 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Frederick Jennings Pa-c NPPES

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

MR. FREDERICK JENNINGS PA-C (NPI 1679782791) is an individual surgical provider in Colorado Springs, Colorado, licensed in Colorado (1908) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1679782791
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. FREDERICK JENNINGSCredential: PA-C
Location Address525 N FOOTE AVE, STE 302Colorado Springs, CO 80909-4501
Mailing Address2695 Rocky Mountain Ave, Suite 150Loveland, CO 80538-8702 · (970) 624-4443 · Fax (970) 490-4175
Phone(719) 365-5445
Fax(719) 365-5530
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 22, 2007
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1679782791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · 1908
525 N FOOTE AVE, Colorado Springs, CO 80909
Open in Google Maps ↗

Other Identifiers 4

Medicaid86376365CO
Medicare PINC0A109637CO
Medicare UPINP58510CO
Medicare PINC810277CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Frederick Jennings Pa-c 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 ID9830188788
PECOS Enrollment IDI20040507000191
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$20.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$100.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

MRS. MACLYN CORW RNFA
Registered Nurse (Medical-Surgical)
525 N FOOTE AVE, SUITE 202
COLORADO SPRINGS, CO 80909
El Paso County (719) 630-8111
WENDY J SMITH NP
Nurse Practitioner
525 N FOOTE AVE, SUITE 202
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6568
DR. UCHENNA OKAGBUE NJIAJU M.D.
Internal Medicine (Medical Oncology)
525 N FOOTE AVE, STE 202
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6568
HEART CENTER A PROFESSIONAL LLP
Specialist
525 N FOOTE AVE, 309
COLORADO SPRINGS, CO 80909
El Paso County (719) 475-2794
ROBERT J HOYER M.D.
Internal Medicine (Hematology & Oncology)
525 N FOOTE AVE, STE 202
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6568
DR. JANE WITTER RIDINGS M.D.
Radiology (Radiation Oncology)
525 N FOOTE AVE
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-6800
MRS. MARY JOSEPHINE BYRON PA-C
Physician Assistant (Surgical)
525 N FOOTE AVE, STE 302
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-5445
MEMORIAL HEALTH SYSTEM
Specialist
525 N FOOTE AVE, SUITE 202
COLORADO SPRINGS, CO 80909
El Paso County (719) 365-9951

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 Frederick Jennings's NPI number?

The NPI number for Frederick Jennings is 1679782791. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Frederick Jennings located?

Frederick Jennings practices at 525 N Foote Ave Ste 302, Colorado Springs, CO 80909. The listed phone number is (719) 365-5445.

What is Frederick Jennings's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Frederick Jennings enrolled in Medicare?

Yes. Frederick Jennings is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Frederick Jennings was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.