Individual provider Active NPI

Jessica Ojeda, ACNPC-AG

  • Acute Care Nurse Practitioner
  • La Junta, CO
National Provider Identifier
1033706247
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0996121-NP Issued in CO
Practice address
1100 Carson Ave Suite 201
La Junta, CO 81050-2751
Phone
(719) 383-5906
Fax
(719) 383-5928
NPI assigned
Dec 22, 2020
Last updated
Sep 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0996121-NP CO Primary

Addresses

Primary practice location

1100 Carson Ave Suite 201
La Junta, CO 81050-2751

Mailing address

1100 Carson Ave Suite 201
La Junta, CO 81050-2751
Phone (719) 383-5906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001430 CO Practitioner - Nurse Practitioner 1456764653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Carson Ave
Suite 201
La Junta, CO 81050-2748
Phone (719) 383-5906

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996121-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Valley Regional Medical Center CurrentSince Jan 4, 2021 Accepting new patients

Locations

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

1100 Carson Ave
Ste 201
La Junta, CO 81050
Phone (719) 383-5900

1100 Carson Ave
Ste 203
La Junta, CO 81050
Phone (719) 383-6425

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1033706247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE SUITE 201",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-5906",
            "fax_number": "719-383-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE SUITE 201",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-5906",
            "fax_number": "719-383-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OJEDA",
        "first_name": "JESSICA",
        "credential": "ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0996121-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

Verify at the official NPI Registry.