Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Lyn Prater, CPNP-AC

Individual provider Pediatric Nurse Practitioner · NPI 1467171884

Mrs. Jessica Lyn Prater, CPNP-AC is a Nurse Practitioner in Aurora, Colorado. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12631 E 17th Ave, Aurora, CO 80045-2527 — (720) 777-3174

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence C-APN.0992701-C-NP (CO)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence C-APN.0992701-C-NP (CO)

Record details

NPI number1467171884
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-AC
Sole proprietorNo
NPI enumeratedAugust 26, 2022
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Aurora