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

Jaclyn Fackler

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174984801

Jaclyn Fackler is an Internal Medicine in Fort Collins, Colorado. Graduated from Rocky Vista University College of Osteopathic Med in 2016, 10 years ago. Practices with Centers for Gastroenterology, a 37-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
10
Trained at
Rocky Vista University College of Osteopathic Med
Licensed in
CO
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3702 S Timberline Rd Ste A
Fort Collins, CO 80525-3625
Phone: (970) 207-9773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence DR.0062065 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174984801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address3702 S Timberline Rd Ste A, Fort Collins, CO 80525-3625

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Centers For Gastroenterology — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Collins