NPIMap

Individual provider Active NPI

Jessika Hinz, DO

  • Infectious Disease Physician
  • Bozeman, MT
National Provider Identifier
1316171127
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
83697 Issued in MT
Practice address
937 Highland Blvd Ste 5120
Bozeman, MT 59715-6916
Phone
(406) 414-4210
NPI assigned
May 7, 2009
Last updated
Aug 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036-134861 IL
Infectious Disease Physician 207RI0200X 83697 MT Primary

Addresses

Primary practice location

937 Highland Blvd Ste 5120
Bozeman, MT 59715-6916

Mailing address

937 Highland Blvd
Ste 5120
Bozeman, MT 59715-6916
Phone (406) 414-4210

Other practice location 1

1100 Lake St Ste Ll56
Oak Park, IL 60301-1034
Phone (708) 383-0943

Other identifiers 1

IdentifierTypeStateIssuer
F400148648OtherILMEDICARE PTAN COOK COUNTY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhinz15780450@direct.sanfordhealth.org Direct Bozeman Health Deaconess Hospital

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223002426 CO Practitioner - Infectious Disease 1254556038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1800 15TH St
Greeley, CO 80631-4563

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-134861ILMDInfectious Disease Physician
83697MTMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Mar 4, 2024 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Mar 4, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

1800 15th St
Ste 210
Greeley, CO 80631
Phone (970) 352-8216

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

Interoperability endpoints

  • Direct secure messaging: jhinz15780450@direct.sanfordhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1316171127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD",
            "address_2": "STE 5120",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5120",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake St Ste Ll56",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011034",
            "country_code": "US",
            "telephone_number": "708-383-0943",
            "fax_number": "708-613-4382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINZ",
        "first_name": "JESSIKA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-07",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-134861",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MT",
            "license": "83697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN  COOK COUNTY",
            "identifier": "F400148648",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhinz15780450@direct.sanfordhealth.org",
            "affiliation": "Y",
            "affiliationName": "Bozeman Health Deaconess Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "937 Highland Blvd Ste 5120",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.