JENNIFER MARIE BERGER-VERNACE, DO — NPI 1114275021 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in FOUNTAIN, CO)

CMS-1500 Box 24J / 33a • NPI

1114275021

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208000000X (CMS 37)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

350 LYCKMAN DRIVE, FOUNTAIN, CO, 80817-2861

✓ 9-Digit EDI 837 ZIP+4 (80817-2861)

Practice Phone & Referral Fax

(719) 632-5700

Fax: (719) 322-0776

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114275021 (JENNIFER MARIE BERGER-VERNACE, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114275021` (NPI-1 Individual Practitioner)
Provider / Legal Name	JENNIFER MARIE BERGER-VERNACE, DO
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `208000000X` (Pediatrics)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	350 LYCKMAN DRIVE, FOUNTAIN, CO, 80817-2861
Practice Telephone / Fax	Tel: (719) 632-5700 \| Fax: (719) 322-0776
Administrative Mailing Address	285 SE 5TH AVE, DELRAY BEACH, FL, 33483-5206
Enumeration & Last Sync	Enumerated: 2012-08-27 \| CMS Record Updated: 2024-07-05

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

350 LYCKMAN DRIVE, FOUNTAIN, CO, 80817-2861

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Plain-English Taxonomy & CMS Crosswalk (208000000X)

What Does Taxonomy Code 208000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208000000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JENNIFER MARIE BERGER-VERNACE, DO)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: FL \| License: `OS13413` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: CO \| License: `DR0072297` \| Primary: Yes (Primary)
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: CA \| License: `20A12405` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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JENNIFER MARIE BERGER-VERNACE, DO (NPI #1114275021)