Jessica Leigh Bullard, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0995428-NP Issued in CO

Practice address

1001 E Johnson St
Holyoke, CO 80734-1854

Phone

(970) 854-2500

Fax

(970) 854-3440

NPI assigned

Mar 23, 2020

Last updated

Mar 19, 2024By the provider in NPPES

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

Electronic endpoints 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Phillips County Hospital DistrictGroup PAC ID 9638161615, shared by 5 NPIs, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melissa Memorial Hospital Hospital, Holyoke, CO, CCN 061305
• Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.bullard.1@15466.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Medicare reassignment NPD
• East Phillips County Hospital District

  dba Melissa Memorial Hospital SwingBed

  • Medicare Defined Swing Bed Hospital Unit
  • Holyoke, CO
  • NPI 1912915893
  Medicare reassignment NPD
• Haxtun Hospital District

  dba Haxtun Family Medicine Center

  • Family Medicine Physician
  • Haxtun, CO
  • NPI 1134185903
  Medicare reassignment NPD
• Haxtun Hospital District

  • Critical Access Hospital
  • Haxtun, CO
  • NPI 1336103811
  Medicare reassignment NPD
• Haxtun Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Haxtun, CO
  • NPI 1801853551
  Medicare reassignment NPD
• East Phillips County Hospital District

  dba MMH Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Holyoke, CO
  • NPI 1386705978
  NPD
• East Phillips County Hospital District

  dba Holyoke EMS

  • Land Ambulance
  • Holyoke, CO
  • NPI 1407444276
  NPD
• East Phillips County Hospital District

  dba Family Practice of Holyoke

  • Rural Health Clinic/Center
  • Holyoke, CO
  • NPI 1073520375
  NPD (past)
• East Phillips County Hospital District

  dba Holyoke EMS

  • Land Ambulance
  • Holyoke, CO
  • NPI 1356842652
  NPD (past)

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

• East Phillips County Hospital District

  dba Melissa Memorial Hospital

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Care Compare affiliation
• Sterling Regional Medcenter

  • General Acute Care Hospital
  • Sterling, CO
  • NPI 1942238555
  Care Compare affiliation

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1316574148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2500",
            "fax_number": "970-854-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E JOHNSON ST",
            "city": "HOLYOKE",
            "state": "CO",
            "postal_code": "807341854",
            "telephone_number": "970-854-2500",
            "fax_number": "970-854-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995428-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.bullard.1@15466.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "Athena EMR",
            "affiliationName": "East Phillips County Hospital District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 E Johnson St",
            "city": "Holyoke",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807341854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jimmie Dale Bailey II, MD
• Banner Health Physicians Colorado LLC
• BD2 Inc (Bemis Drug-Holyoke)
• Brandt Chiropractic Clinic, PC LLC
• Jerold A Brandt, D.C.
• Centennial Mental Health Center
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.
• Centennial Mental Health Center, Inc.

• Family Nurse Practitioner in Holyoke, CO
• Providers in Holyoke, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.