Individual provider Active NPI

Jessica Ann Wilkerson, NP

  • Women's Health Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1083377873
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APN.0997018-NP Issued in CO
Practice address
7720 S Broadway Ste 250
Littleton, CO 80122-2634
Phone
(720) 922-6240
Fax
(720) 922-6241
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APN.0997018-NP CO Primary

Addresses

Primary practice location

7720 S Broadway Ste 250
Littleton, CO 80122-2634

Mailing address

7720 S Broadway Ste 250
Littleton, CO 80122-2634
Phone (720) 922-6240

Other identifiers 1

IdentifierTypeStateIssuer
9000198558MedicaidCO

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
I20211124001189 CO Practitioner - Nurse Practitioner 1355731803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

7720 S Broadway
250 WHLH WH Lah
Littleton, CO 80122-2634
Phone (720) 922-6240

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997018-NPCOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Dec 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 1, 2021 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7720 S Broadway
Ste 250
Littleton, CO 80122
Phone (720) 922-6240

Interoperability endpoints

  • Direct secure messaging: jwilkerson1821397@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1083377873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222634",
            "telephone_number": "720-922-6240",
            "fax_number": "720-922-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 S BROADWAY STE 250",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222634",
            "telephone_number": "720-922-6240",
            "fax_number": "720-922-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0997018-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000198558",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.