NPIMap

Individual provider Active NPI

Jason Robert Stuerman, MD

  • Family Medicine Physician
  • Granby, CO
National Provider Identifier
1053393488
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
429413 Issued in KS
Practice address
1000 Granby Park Drive South
Granby, CO 80446
Phone
(970) 887-5800
NPI assigned
Nov 21, 2005
Last updated
Feb 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR38261 CO
Family Medicine Physician 207Q00000X 429413 KS Primary

Addresses

Primary practice location

1000 Granby Park Drive South
Granby, CO 80446

Mailing address

RR 2 Box 38
211 E Earl Street
Leoti, KS 67861-9504
Phone (620) 375-2233

Other practice location 1

211 E Earl Street
Leoti, KS 67861
Phone (620) 375-2233

Other identifiers 2

IdentifierTypeStateIssuer
102095OtherKSBCBS
100420470AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstuerman185889@directe.centura.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000455 CO Practitioner - Family Practice 6204866700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 S 4TH St
Kremmling, CO 80459-0399
Phone (970) 724-3442

400 Grand Ave
Kremmling, CO 80459-0399
Phone (970) 724-3524

P O Box
Suite 399
Kremmling, CO 80459-0399

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.61 of 100Reported as group
Quality
76.83
Promoting interoperability
100
Improvement activities
40
Cost
35.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR38261COMDFamily Medicine Physician
429413KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Feb 19, 2014 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Feb 19, 2014 Accepting new patients

Locations

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

Interoperability endpoints

  • Direct secure messaging: jstuerman185889@directe.centura.org

Organizations & group practices 2

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 7

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1053393488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 2 BOX 38",
            "address_2": "211 E EARL STREET",
            "city": "LEOTI",
            "state": "KS",
            "postal_code": "678619504",
            "telephone_number": "620-375-2233",
            "fax_number": "620-375-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GRANBY PARK DRIVE SOUTH",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "970-887-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 E Earl Street",
            "address_purpose": "LOCATION",
            "city": "Leoti",
            "state": "KS",
            "postal_code": "67861",
            "country_code": "US",
            "telephone_number": "620-375-2233",
            "fax_number": "620-375-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUERMAN",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR38261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "429413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102095",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420470A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstuerman185889@directe.centura.org",
            "affiliation": "N",
            "endpointDescription": "JStuerman Middle Park Health DIRECT Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Granby Park Drive South",
            "city": "Granby",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granby, CO

Sources for this page

Verify at the official NPI Registry.