NPIMap

Individual provider Active NPI

Joseph Jeppa Jeppson, DO

  • Hospitalist Physician
  • Mesquite, NV
National Provider Identifier
1063682672
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DOS-1284 Issued in HI
Practice address
1301 Bertha Howe Ave 1
Mesquite, NV 89027-7503
Phone
(702) 346-0800
Fax
(702) 346-0801
NPI assigned
Mar 11, 2008
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SL0453 NV
Hospitalist Physician 208M00000X DOS-1284 HI Primary

Addresses

Primary practice location

1301 Bertha Howe Ave 1
Mesquite, NV 89027-7503

Mailing address

1301 Bertha Howe Ave 1
Mesquite, NV 89027-7503
Phone (702) 346-0800

Other identifiers 1

IdentifierTypeStateIssuer
DOS-1284OtherHIMD LIC.

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjeppson@qhcus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150924000715 NV Practitioner - Internal Medicine 8426118555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1299 Bertha Howe Ave
Mesquite, NV 89027-7500
Phone (702) 345-4531

1301 Bertha Howe Ave
Mesquite, NV 89027-7503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.41 of 100Reported as individual
Quality
64.57
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL0453NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mesquite Clinic Management Company LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Mesquite Clinic Management Company LLC CurrentSince Mar 1, 2020 Accepting new patients
MMC of Nevada LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1301 Bertha Howe Ave
Ste 1
Mesquite, NV 89027
Phone (702) 346-0200

1301 Bertha Howe Ave
Ste 6
Mesquite, NV 89027
Phone (702) 345-2650

1301 Bertha Howe Ave
Ste 8
Mesquite, NV 89027
Phone (702) 346-1700

450 Hillside Dr
Ste 104
Mesquite, NV 89027
Phone (702) 345-2650

Interoperability endpoints

  • Direct secure messaging: jjeppson@yourcarecommunity.org
  • Direct secure messaging: joseph.jeppson.2@2184.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mesa View Hospice, LLCMesquite, NV, CCN 291529 Hospice Contracted Managing Employee Aug 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 5

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": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1063682672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277503",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPSON",
        "first_name": "JOSEPH",
        "middle_name": "JEPPA",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL0453",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "HI",
            "license": "DOS-1284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LIC.",
            "identifier": "DOS-1284",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjeppson@qhcus.com",
            "affiliation": "N",
            "address_1": "1301 BERTHA HOWE AVE 1",
            "city": "MESQUITE",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890277503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

Verify at the official NPI Registry.