JERALYN ANN FOKKEN (NP) – Adult Health Nurse Practitioner, NPI 1275557035

JERALYN ANN FOKKEN (NP) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. A0706184 (CO). The NPI Number for JERALYN ANN FOKKEN (NP) is 1275557035

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
JERALYN ANN FOKKEN (NP)
NPI
1275557035
Phone
(720) 500-1651
Address
680 N CLARKSON ST
Enumeration Date
26 July 2006
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7205005488
Graduation Year
2005 (21 years ago)
PAC ID
8224034970
Group Practice PAC ID
1850694985
Professional Enrollment ID
I20061020000067
Address ID
CO802032768DE925XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for JERALYN ANN FOKKEN (NP)

  • 680 N CLARKSON ST

    DENVER, CO 802183202

    Phone: (720) 500-1651

    Fax: (720) 815-0378

    Type: Location

  • 5857, Teal Street, No Name Creek, Frederick, Weld County, Colorado, 80504, United States

    FREDERICK, CO 805049672

    Phone: (303) 601-4544

    Type: Mailing

  • 660, Bannock Street, Lincoln Park, Denver, Denver County, Colorado, 80204, United States

    MC 4000

    DENVER, CO 802044506

    Phone: (303) 436-8577

    Fax: (303) 436-3801

    Type: Location

  • 1800 YAUPON AVE

    BOULDER, CO 803044437

    Phone:

    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: 2006-10-20

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
I20061020000067INurse 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 80218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850694985View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerWA
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

Does JERALYN ANN FOKKEN (NP) have a public NPI I can cite?
Public records show JERALYN ANN FOKKEN (NP) under NPI 1275557035.
Quick check: is JERALYN ANN FOKKEN (NP) active?
Public NPPES data shows JERALYN ANN FOKKEN (NP) with an active NPI status right now.
What type of care does JERALYN ANN FOKKEN (NP) provide?
JERALYN ANN FOKKEN (NP)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to JERALYN ANN FOKKEN (NP)?
The directory associates JERALYN ANN FOKKEN (NP) with Denver, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains JERALYN ANN FOKKEN (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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