MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) – Nurse Practitioner, NPI 1215134705

MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) is a healthcare provider. based in Colorado springs, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, PMHNP-BC. They hold a License No. 2019012763 (CO). The NPI Number for MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) is 1215134705

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)
NPI
1215134705
Phone
(719) 301-7731
Address
2993 BROADMOOR VALLEY RD STE 105A
Enumeration Date
28 June 2007
Last Update Date
18 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7192249080
Graduation Year
2007 (19 years ago)
PAC ID
2365535077
Professional Enrollment ID
I20070911000239
Address ID
CO809184273CO4740XDRXX339
Telehealth
Yes

Contacts

Secure Messaging
sagepsychiatryllc@direct.practicefusion.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:18State licenses:5Other namesUpdated within 12 months

5,198 NURSE PRACTITIONER in CO

Provider Addresses for MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)

  • 2993 BROADMOOR VALLEY RD STE 105A

    COLORADO SPRINGS, CO 809064471

    Phone: (719) 301-7731

    Type: Location

  • Surprise Post Office, Main Street, Pioneer Town Site Addition, Surprise, Butler County, Nebraska, 68667, United States

    SURPRISE, AZ 853740100

    Phone: (719) 301-7731

    Type: Mailing

  • 315 COLORADO AVE

    PUEBLO, CO 810042046

    Phone: (719) 224-9080

    Type: Location

  • 4740 FLINTRIDGE DR STE 220I

    COLORADO SPRINGS, CO 809184273

    Phone: (719) 224-9080

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070911000239INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80906)

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Reviews

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Frequently asked questions

What is MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)'s NPI number?
MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)'s NPI is 1215134705 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)?
You should see MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) as active in CMS-hosted NPPES data.
What kind of doctor is MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)?
MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)?
Directory geography for MS. JULIE M. KLAKER (FNP-C, PMHNP-BC) centers on Colorado Springs, Colorado.
Can I trust this NPI listing for MS. JULIE M. KLAKER (FNP-C, PMHNP-BC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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