Provider Type Icon

MARK JANKELOW PMHNP-BC NPI 1487958070


NPI Information

NPI: 1487958070
Provider Name: MARK JANKELOW, PMHNP-BC
Classification: Nurse Practitioner - 363LC1500X
Entity Type: Individual

Specialization: Community Health

Organization: SPRINGBOK HEALTH INC

PECOS Registration: Yes

Address:
1318 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904
Phone: (719) 766-8511
Get Directions

Mark Jankelow, PMHNP-BC is a community health nurse practitioner in Colorado Springs, CO with 14 years of experience. Mark Jankelow, PMHNP-BC NPI is 1487958070. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1318 W COLORADO AVE
COLORADO SPRINGS, CO
ZIP 80904-023
Phone: (719) 766-8511
Fax: (719) 208-7731

The NPI 1487958070 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90832)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychotherapy, 60 minutes with patient and/or family member (HCPCS:90837)

The enumeration date for this NPI number is 12/22/2010 and was last updated on 10/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LC1500XNurse PractitionerCommunity HealthANP0990467COLORADOYes
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAPN.0990467-NPCOLORADONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
187108518MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.