Individual provider Active NPI

Jessica Mae Urzen, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Hickory, NC
National Provider Identifier
1285079004
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2017-00983 Issued in NC
Practice address
3246 6TH Ave SE
Hickory, NC 28602-8335
Phone
(828) 732-7249
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2017-00983 NC Primary

Addresses

Primary practice location

3246 6TH Ave SE
Hickory, NC 28602-8335

Mailing address

810 Fairgrove Church Rd SE
Hickory, NC 28602-9617
Phone (828) 732-7249

Other identifiers 1

IdentifierTypeStateIssuer
1285079004MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002501 NC Practitioner - Physical Medicine and Rehabilitation 2668787946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Catawba Valley Medical CenterGroup PAC ID 0547178907, 105 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3246 6TH Ave SE
Hickory, NC 28602-8335
Phone (828) 732-7249

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • Catawba Valley Medical Center Inpatient rehabilitation facility, Hickory, NC, CCN 34T143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2017-00983NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Center Current Accepting new patients
Catawba Valley Medical Center Physical Medicine & Rehabilitation CurrentSince Aug 1, 2017 Accepting new patients
Catawba Valley Medical Center CurrentSince Aug 1, 2017 Accepting new patients

Locations

3412 Graystone Pl SE
Ste B
Conover, NC 28613
Phone (828) 322-4775

3412 Graystone Pl SE
Ste A
Conover, NC 28613

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

3246 6th Ave SE
Hickory, NC 28602
Phone (828) 326-2475

Interoperability endpoints

  • Direct secure messaging: jessica.urzen@cvhs.eclinicaldirectplus.com

Organizations & group practices 9

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 2

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1285079004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617",
            "telephone_number": "828-732-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 6TH AVE SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028335",
            "telephone_number": "828-732-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URZEN",
        "first_name": "JESSICA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2017-00983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285079004",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.