Individual provider Active NPI

Jessica Rose Macleod, APN-NP, APRN-CNP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1073488482
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001971-NP Issued in CO
Practice address
363 W Drake Rd Ste 9
Fort Collins, CO 80526-2882
Phone
(970) 961-0630
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1001971-NP CO Primary

Addresses

Primary practice location

363 W Drake Rd Ste 9
Fort Collins, CO 80526-2882

Mailing address

363 W Drake Rd Ste 9
Fort Collins, CO 80526-2882
Phone (970) 961-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
203551NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Sophie'S, LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

3201 33rd St S
Fargo, ND 58104
Phone (701) 365-4467

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1073488482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD STE 9",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262882",
            "telephone_number": "970-961-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W DRAKE RD STE 9",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262882",
            "telephone_number": "970-961-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "APN-NP, APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1001971-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.