Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jennifer Michelle Divine, MD

MOHS-Micrographic Surgery Physician in Fort Collins, CO · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063779072

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Registry record

Entity type Individual (Type 1)

Name Jennifer Michelle Divine

Credential MD

Sex Female

Practice address Fort Collins, CO, 80524

Phone (970) 286-2668

Fax (970) 294-4954

Enumeration date Apr 15, 2012

Last updated in NPPES Jul 19, 2024

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License ME 131766 (FL) Secondary

207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License DR.0058205 (CO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jennifer Divine?

The National Provider Identifier (NPI) for Jennifer Divine is 1063779072, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jennifer Divine practice?

The practice location on file with NPPES is in Fort Collins, CO. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-19.