MRS. JENNIFER B DE GORTARI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790701589

MRS. JENNIFER B DE GORTARI (CRNA) is a healthcare provider. based in Lakewood, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 118813 (CO). The NPI Number for MRS. JENNIFER B DE GORTARI (CRNA) is 1790701589

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER B DE GORTARI (CRNA)
NPI
1790701589
Phone
(720) 321-1010
Address
11600 W 2nd Pl
Enumeration Date
14 July 2006
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034383999
Graduation Year
2002 (24 years ago)
PAC ID
2769498187
Group Practice PAC ID
6002072055
Professional Enrollment ID
I20060222000610
Address ID
CO802203908DE4567XAVEX406

Contacts

Secure Messaging
jdegortari7411@direct.dhha.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness95
Years active:19State licenses:2Other names

803 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

Provider Addresses for MRS. JENNIFER B DE GORTARI (CRNA)

  • 11600 W 2nd Pl

    Lakewood, CO 802281527

    Phone: (720) 321-1010

    Fax: (720) 321-1001

    Type: Location

  • 8101 E Lowry Blvd Ste 120

    Denver, CO 802307195

    Phone: (303) 909-4157

    Type: Location

  • 3531 S LOGAN ST UNIT D408

    ENGLEWOOD, CO 801133700

    Phone: (303) 788-6749

    Type: Mailing

  • 3531, South Logan Street, Englewood, Arapahoe County, Colorado, 80113, United States

    UNIT D408

    ENGLEWOOD, CO 801133700

    Phone: (303) 788-6749

    Type: Mailing

  • Swedish Medical Center, 501, East Hampden Avenue, Englewood, Arapahoe County, Colorado, 80113, United States

    ENGLEWOOD, CO 801132702

    Phone: (303) 788-6749

    Type: Location

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: 2006-02-22

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
I20060222000610ICertified Registered Nurse Anesthetist (Crna)COTBD

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 80228)

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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: 6002072055View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCO
-CO
-CO
-CO
-CO
-CO
A N E S T H E S I O L O G YCO
-CO
A N E S T H E S I O L O G YCOLORADO
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What number should I use to identify MRS. JENNIFER B DE GORTARI (CRNA) for billing?
Administrative and clinical systems typically use NPI 1790701589 for MRS. JENNIFER B DE GORTARI (CRNA).
Should I treat MRS. JENNIFER B DE GORTARI (CRNA) as an active provider?
Patients and plans typically see MRS. JENNIFER B DE GORTARI (CRNA) as active in the national extract.
How should patients interpret MRS. JENNIFER B DE GORTARI (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MRS. JENNIFER B DE GORTARI (CRNA). Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JENNIFER B DE GORTARI (CRNA)?
MRS. JENNIFER B DE GORTARI (CRNA) shows a connection to Lakewood, Colorado in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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