Jessica Susana Nedom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10334 Issued in CO

Practice address

2930 11TH Ave
Evans, CO 80620-1011

Phone

(970) 353-9403

Fax

(970) 353-9906

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jessica Susana Rodriguez Munoz Former name

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, 530 clinicians

Oak Street Health Physicians Group of Colorado PLLCGroup PAC ID 9032585054, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.nedom.1@14940.direct.athenahealth.com

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.

• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1134868599

  CO

  Medicare reassignment Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Lakewood, CO
  • NPI 1104895754
  Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1346896081
  Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Woodland Park, CO
  • NPI 1528791316
  Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1881237451
  Care Compare group
• Select Physical Therapy of West Denver Limited Partnership

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1942279567
  Care Compare group
• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Denver, CO
  • NPI 1255047288

  Family

  NPD
• Oak Street Health Physicians Group of Colorado, PLLC

  • Primary Care Clinic/Center
  • Aurora, CO
  • NPI 1760197891
  NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1184936627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5996 E 64th Ave",
            "address_purpose": "LOCATION",
            "city": "Commerce City",
            "state": "CO",
            "postal_code": "800223317",
            "country_code": "US",
            "telephone_number": "720-463-6758",
            "fax_number": "720-640-3314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEDOM",
        "first_name": "JESSICA",
        "middle_name": "SUSANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "10334",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "176219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37179870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RODRIGUEZ MUNOZ",
            "middle_name": "SUSANA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer L Miller, LCSW
• Cynthia I Monarrez
• Cecilia Morales
• Olinda Moro Lopez
• Alexander B Murphy, MA
• Nightingale Behavioral Health
• Niki Avery Pediatric PT LLC
• North Colorado Health Alliance
• North Range Behavioral Health
• North Range Behavioral Health

• All providers in Evans, CO
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.

Verify at the official NPI Registry.