Jenny Elizabeth Mistretta, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008150 Issued in CO

Practice address

181 W Meadow Dr Ste 400
Vail, CO 81657-5058

Phone

(970) 476-1100

NPI assigned

Sep 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Duke University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steadman Clinic Professional LLCGroup PAC ID 7719876226, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Steadman Clinic Professional LLC

  • Specialist
  • Vail, CO
  • NPI 1952327835
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vail Clinic Inc

  • Clinic/Center
  • Frisco, CO
  • NPI 1003463217

  Hospital

  Care Compare affiliation
• Vail Clinic Inc

  • General Acute Care Hospital
  • Avon, CO
  • NPI 1093361842
  Care Compare affiliation
• Vail Clinic Inc

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1144876251
  Care Compare affiliation
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Edwards, CO
  • NPI 1659151009
  Care Compare affiliation
• Vail Clinic, Inc.

  • General Acute Care Hospital
  • Vail, CO
  • NPI 1992812333
  Care Compare affiliation

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1306622501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR STE 400",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575058",
            "telephone_number": "970-476-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTRETTA",
        "first_name": "JENNY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Miller, MD
• Susan Joyce Miller, PH.D.
• Peter James Millett, M.D.
• Cassandra Millette
• Brooke Frances Milliet, DPT
• Ryan J Molzon, ATC
• Joe E. Monk, MD
• Scott R Montgomery, M.D.
• S.Jason Moore, P.A.
• Allison Morgan

• Physician Assistant in Vail, CO
• Providers in Vail, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.