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

Jeannette Renee Liller, NP

Individual provider Registered Nurse · NPI 1972966992

Jeannette Renee Liller, NP is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2016, 10 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
10
Licensed in
CO
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

175 S Union Blvd Ste 300
Colorado Springs, CO 80910-3126
Phone: (719) 365-7630
Fax: (719) 365-7631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0992352 (CO)
Registered Nurse Taxonomy 163W00000X · Licence 1617166 (CO)

Record details

NPI number1972966992
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 29, 2016
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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