Active NPI
Jessica Mae Urzen, D.O.
- Physical Medicine & Rehabilitation Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2017-00983
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285079004 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, IncCatawba Valley Medical Center
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
- Catawba Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-00983 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Current | Accepting new patients | |
| Catawba Valley Medical Center | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | 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
- 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.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
-
- Psychiatric Hospital Unit
- Hickory, NC
- NPI 1275585150
-
- Psychiatry Physician
- Hickory, NC
- NPI 1497792469
-
- Diagnostic Radiology Physician
- Hickory, NC
- NPI 1689611220
-
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1689628794
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Health Educator
- Hickory, NC
- NPI 1518524818
-
- Physical Medicine & Rehabilitation Physician
- Hickory, NC
- NPI 1952832941
Physical Medicine & Rehabilitation
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Hickory, NC
- NPI 1689628794
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.