NPIMap

Individual provider Active NPI

Jennifer Rebecca Sousa, AGNP-C

  • Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1316664154
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0998142-NP Issued in CO
Practice address
7780 S Broadway Ste 350
Littleton, CO 80122-2641
Phone
(720) 638-7500
Fax
(720) 583-6770
NPI assigned
Oct 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X APN.0998142-NP CO
Nurse Practitioner 363L00000X APN.0998142-NP CO Primary

Addresses

Primary practice location

7780 S Broadway Ste 350
Littleton, CO 80122-2641

Mailing address

7780 S Broadway Ste 350
Littleton, CO 80122-2641
Phone (720) 638-7500

Other practice location 1

11750 W 2nd Pl Ste 255
Lakewood, CO 80228-1726
Phone (720) 638-7500

Other identifiers 1

IdentifierTypeStateIssuer
9000211755MedicaidCO

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
I20230123000287 CO Practitioner - Nurse Practitioner 1153792528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

7780 S Broadway
Suite 350
Littleton, CO 80122-2641
Phone (303) 730-4400

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0998142-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Dec 6, 2022 Accepting new patients
Portercare Adventist Health System CurrentSince Dec 6, 2022 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4350 Limelight Ave
Unit 100
Castle Rock, CO 80109
Phone (720) 455-3775

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

7780 S Broadway
Ste 350
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 840-8780

Organizations & group practices 4

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 11

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1316664154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222641",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 S BROADWAY STE 350",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222641",
            "telephone_number": "720-638-7500",
            "fax_number": "720-583-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl Ste 255",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281726",
            "country_code": "US",
            "telephone_number": "720-638-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CO",
            "license": "APN.0998142-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0998142-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000211755",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.