Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mikaela Rose Fenn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083292817

Dr. Mikaela Rose Fenn, MD is a Family Practice in Pueblo, Colorado. Graduated from University of Pittsburgh School of Medicine in 2021, 5 years ago. Practices with Pueblo Community Health Center Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Trained at
University of Pittsburgh School of Medicine
Licensed in
CO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Pueblo, CO
Fax: (719) 543-0171

No coordinates on file. Search this address in Google Maps

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0073570 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083292817
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESJuly 23, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Pueblo Community Health Center Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pueblo