Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Jackson, AGACNP-BC, APN

Individual provider Nurse Practitioner · NPI 1295500999

Amy Jackson, AGACNP-BC, APN is a Nurse Practitioner in Fort Collins, Colorado. Qualified in 2023, 3 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Wyoming.

Years since qualifying
3
Licensed in
CO, WY
In the registry since
2023
Specialties on file
5
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

2121 E Harmony Rd Unit 100
Fort Collins, CO 80528-3401
Phone: (970) 221-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2028 Huntington Cir, Fort Collins, CO 80526-1510 — (501) 617-3931
  • 214 E 23rd St, Cheyenne, WY 82001-3748 — (307) 634-2273

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APN.0999288-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0999288-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 53523 (WY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence APN.0999288-NP (CO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 53523 (WY)

Record details

NPI number1295500999
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC , APN
Sole proprietorYes
NPI enumeratedNovember 22, 2023
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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