Virginia R Jeppesen, NP-C
Individual provider Active NPI Nurse Practitioner · Bozeman, MT
NPI 1174896419 · NPPES record last updated Nov 25, 2020
Key facts
- NPI
- 1174896419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP-1149A (ID)
- Practice address
- 536 S Cottonwood Rd
Bozeman, MT 59718-9515 - Phone
- (406) 586-8029
- NPI assigned
- Feb 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpine Orthopedics and Sports Medicine
Bozeman Health Deaconess Hospital
Practice addresses (Care Compare)
536 S Cottonwood Rd
100 Alpine Orthopedics and Sports Medicine
Bozeman, MT 59718-9529
Phone (406) 586-8029
915 Highland Blvd
Bozeman, MT 59715-6902
Phone (406) 414-5000
Hospital & facility affiliations
- Bozeman Health Deaconess Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120521000395 | ID | Practitioner - Nurse Practitioner | 6103089610 | Reassigns benefits to 1 organization |
| I20190411003203 | MT | Practitioner - Nurse Practitioner | 6103089610 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tadje Orthopaedics, LLC | Current |
Accepting new patients | |
| Alpine Orthopedics & Sports Medicine | Current |
Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Bozeman Health Deaconess Hospital | Current |
Accepting new patients | |
| Poole Joint Replacement Specialists | Past |
Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
520 S Eagle Rd
Ste 1201
Meridian, ID 83642
Phone (208) 706-5988
2365 E Gala St
#1
Meridian, ID 83642
Phone (208) 391-5811
536 S Cottonwood Rd
Ste 100
Bozeman, MT 59718
Phone (406) 586-8029
536 S Cottonwood Rd
Bozeman, MT 59718
Phone (406) 586-8029
536 S Cottonwood Rd
Ste 10
Bozeman, MT 59718
Phone (406) 586-8029
915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720
Interoperability endpoints
- virginia.jeppesen@1402.chartlogic.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP-1149A | ID | Yes |
Addresses
Primary practice location
536 S Cottonwood Rd
Bozeman, MT 59718-9515
Mailing address
536 S Cottonwood Rd
Bozeman, MT 59718-9515
Phone (406) 586-8029
Other practice location 1
520 S Eagle Rd
Suite 1201
Meridian, ID 83642-6351
Phone (208) 706-5988
Other practice location 2
2365 E Gala St Ste 1
Meridian, ID 83642
Phone (208) 515-2654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP-1149A | Other | ID | NURSE PRACTITIONER LICENSE |
| NUR-APRN-LIC-136599 | Other | MT | NURSE PRACTITIONER LICENSE |
Other providers in Bozeman, MT
- Julie Dawn Jenkins
- Sonia Marie Jenkins
- Jenna Gorham Nutrition Consulting
- Stacy Jennaway
- Loren Jensen
- Jesse McClung DDS PLLC
- Lauren Marie Jessen
- Jessica Lenneman LCSW
- Sandra Stacey Jessup Lyons
- Joanna Greenbaum Therapy Dba in Flow Psychology
All providers in Bozeman, MT · Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.