KATHERINE JEFFERSON – Psychiatric/Mental Health Nurse Practitioner, NPI 1437779972

KATHERINE JEFFERSON is a healthcare provider. based in Westminster, Colorado. specializing in NURSE PRACTITIONER. They hold a License No. 1163171 (AL). The NPI Number for KATHERINE JEFFERSON is 1437779972

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE JEFFERSON
NPI
1437779972
Phone
(205) 516-0009
Address
10740 W 102nd Pl
Enumeration Date
24 April 2020
Last Update Date
8 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7203166434
Graduation Year
2022 (4 years ago)
PAC ID
1759737323
Group Practice PAC ID
3870036478
Professional Enrollment ID
I20231102001950
Address ID
CO801112802GR8490XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for KATHERINE JEFFERSON

  • 10740 W 102nd Pl

    Westminster, CO 800215109

    Phone: (205) 516-0009

    Fax: (720) 360-1641

    Type: Location

  • 111 LAKE CHELSEA DR

    CHELSEA, AL 350432016

    Phone: (205) 516-0009

    Type: Mailing

  • 1802 6TH AVE S

    BIRMINGHAM, AL 352331932

    Phone: (205) 934-7100

    Type: Location

  • 10740 W 102ND PL

    WESTMINSTER, CO 800215109

    Phone: (205) 516-0009

    Fax: (720) 360-1641

    Type: Mailing

  • 8354 E NORTHFIELD BLVD STE 308

    DENVER, CO 802383131

    Phone: (205) 516-0009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $610.

Total Amount is formed as General ($610) + Research ($0) + Ownership ($0) = $610.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Alkermes, Inc. ($177).

Total Amount

$610

General + Research + Ownership

Payments

27

Total payment records

General Amount

$610

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-02

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
I20231102001950INurse 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 80021)

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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: 3870036478View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical Social WorkerMI
Mental Health CounselorCO
Clinical Social WorkerCO
Mental Health CounselorCO
Mental Health CounselorCO
Marriage And Family TherapistFL
Mental Health CounselorCO

Reviews

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Frequently asked questions

Does KATHERINE JEFFERSON have a public NPI I can cite?
Public records show KATHERINE JEFFERSON under NPI 1437779972.
Does the public listing show KATHERINE JEFFERSON as active?
KATHERINE JEFFERSON's NPI record reflects an active status in NPPES.
What does the directory say KATHERINE JEFFERSON does?
Insurance directories may phrase it differently, but here KATHERINE JEFFERSON maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHERINE JEFFERSON?
KATHERINE JEFFERSON shows a connection to Westminster, Colorado in registry-derived data.
Why is information missing for KATHERINE JEFFERSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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