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Jesse W Dacus, FNP-C

Nurse Practitioner in Colorado Springs, CO. Individual provider (NPI-1).

NPI number1033788971
StatusActive
Last updated in NPPESDec 29, 2023

Details

NPI
1033788971
Entity type
Individual (NPI-1)
Name
Jesse W Dacus
Credential
FNP-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2021
Certification date
Dec 29, 2023
Last updated
Dec 29, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPN.0996571-NPCOYes
363L00000X Nurse PractitionerF05210641CO

Practice location

2767 Janitell Rd
Colorado Springs, CO 80906-4102

Phone 719-365-2888 · Fax 719-365-1577

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Phone 970-624-2417 · Fax 970-490-4173

Other practice locations

3222 Breckenridge Dr E
Colorado Springs, CO 80906-4537

Phone 719-243-9047

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Colorado Springs, CO

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