Jessica Harrison, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3179 Issued in CO

Practice address

1201 Main Ave
Suite 203
Durango, CO 81301-5260

Phone

(970) 403-0555

Fax

(970) 403-0556

NPI assigned

May 2, 2011

Last updated

May 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Animas Surgical Hospital, LLC

  dba Animas Physician Network

  • Emergency Medicine Physician
  • Durango, CO
  • NPI 1861721714

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Performance Cardiology PC

  • Cardiovascular Disease Physician
  • Durango, CO
  • NPI 1932275047
  Medicare reassignment
• Durango Surgery Center LLC

  dba Animas Surgical Center at Escalante

  • Ambulatory Surgical Clinic/Center
  • Durango, CO
  • NPI 1548870603
  NPD

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

• Animas Surgical Hospital, LLC

  dba Animas Internal Medicine

  • Internal Medicine Physician
  • Durango, CO
  • NPI 1184178238

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Urgent Care

  • Urgent Care Clinic/Center
  • Durango, CO
  • NPI 1194161422

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Occupational Medicine

  • Occupational Medicine Physician
  • Durango, CO
  • NPI 1497071435

  Hospital

  Care Compare affiliation
• Animas Surgical Hospital, LLC

  dba Animas Surgical Hospital

  • General Acute Care Hospital
  • Durango, CO
  • NPI 1508842964
  Care Compare affiliation

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1063703544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2487",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813022487",
            "telephone_number": "970-403-0555",
            "fax_number": "970-403-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MAIN AVE",
            "address_2": "SUITE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015260",
            "telephone_number": "970-403-0555",
            "fax_number": "970-403-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "3179",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna R Harder-Smith, DO
• Kristin Nicole Harding, PHARMD
• Heather Lee Harlan, ACNP-AP
• Darcy Harper, NP
• Rebeka Harris
• Jude B Harrison, MD
• Lorena Harrison, CPHT
• Jeni Ann Hartmann, OT, PT, MPT
• Lori Ann Hassanzadeh-Aski
• Sara Joy Haug, MD, PHD

• Physician Assistant in Durango, CO
• Providers in Durango, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.