Active NPI
Jeannie Jo Mueller, PA-C, RD, CDE
- Physician Assistant
- Montrose, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1010 Rio Grande Ave
Montrose, CO 81401-4831 - Phone
- (970) 497-3333
- Fax
- (855) 299-7837
- NPI assigned
- Sep 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1010 Rio Grande Ave
Montrose, CO 81401-4831
Mailing address
PO Box 529
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 1
308 Main Street
Olathe Comm Clinic DBA River Valley Family Health Ctr
Olathe, CO 81425-0529
Phone (970) 323-6141
Other practice location 2
1250 Valley View Dr
Delta, CO 81416-3138
Phone (970) 874-8981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18408745 | Medicaid | CO | |
| P01316438 | Other | RAILROAD WORKERS MEDICARE / OLATHE COMM CLINIC DBA RIVER VALLEY FAMILY HEALTH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 S Rio Grande Ave
Montrose, CO 81401-4831
Phone (970) 497-3333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0002513 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olathe Community Clinic Inc | Family Medicine | Current | Accepting new patients |
| Olathe Community Clinic Inc | Past | Accepting new patients |
Locations
1250 Valley View Dr
Delta, CO 81416
Phone (970) 874-8981
1010 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 497-3333
Interoperability endpoints
- jeannie.mueller.1@19850.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Olathe, CO
- NPI 1770834244
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Delta, CO
- NPI 1558886218
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Delta, CO
- NPI 1417935446
-
- General Acute Care Hospital
- Montrose, CO
- NPI 1205822186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1083809149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 529",
"city": "OLATHE",
"state": "CO",
"postal_code": "814250529",
"telephone_number": "970-323-6141",
"fax_number": "970-323-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 RIO GRANDE AVE",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814014831",
"telephone_number": "970-497-3333",
"fax_number": "855-299-7837"
}
],
"practiceLocations": [
{
"address_1": "308 Main Street",
"address_2": "Olathe Comm Clinic DBA River Valley Family Health Ctr",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "CO",
"postal_code": "814250529",
"country_code": "US",
"telephone_number": "970-323-6141",
"fax_number": "970-323-6117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Valley View Dr",
"address_purpose": "LOCATION",
"city": "Delta",
"state": "CO",
"postal_code": "814163138",
"country_code": "US",
"telephone_number": "970-874-8981",
"fax_number": "855-299-7586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "JEANNIE",
"middle_name": "JO",
"credential": "PA-C, RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-12",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18408745",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD WORKERS MEDICARE / OLATHE COMM CLINIC DBA RIVER VALLEY FAMILY HEALTH",
"identifier": "P01316438",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.