Individual provider Active NPI

Katie Jones, FNP

  • Family Nurse Practitioner
  • Edwards, CO
National Provider Identifier
1104808096
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN29302 Issued in MT
Practice address
322 Beard Creek Rd
Edwards, CO 81632-6433
Phone
(970) 476-2451
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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 RN29302 MT Primary

Addresses

Primary practice location

322 Beard Creek Rd
Edwards, CO 81632-6433

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 476-2451

Other practice location 1

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-2451

Other identifiers 2

IdentifierTypeStateIssuer
4306729MedicaidMT
122921400MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VAIL CLINIC INC

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
I20070910000538 CO Practitioner - Nurse Practitioner 8123044781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

1280 Village Rd
Avon, CO 81620-5374
Phone (970) 949-0800

181 W Meadow Dr
Vail Health Hospital
Vail, CO 81657-5242
Phone (970) 476-2451

320 Beard Creek Rd
Suite 1100
Edwards, CO 81632-6433
Phone (970) 569-7777

322 Beard Creek Rd
Edwards, CO 81632-6433
Phone (970) 569-7622

Hospital & facility affiliations

  • Vail Health Hospital Hospital, Vail, CO, CCN 060096

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN29302MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic, Inc. CurrentSince Jul 9, 2007 Accepting new patients
Vail Clinic, Inc. CurrentSince Jul 9, 2007 Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 479-5036

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.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.

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1104808096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-476-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BEARD CREEK RD",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326433",
            "telephone_number": "970-476-2451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 W Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575242",
            "country_code": "US",
            "telephone_number": "970-476-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "RN29302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4306729",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122921400",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VAIL CLINIC INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "322 Beard Creek Rd",
            "city": "Edwards",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816326433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.