Individual provider Active NPI

Jessica Rene Defenderfer, PHD

  • Audiologist-Hearing Aid Fitter
  • Arvada, CO
National Provider Identifier
1326767880
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1234 Issued in CO
Practice address
7850 Vance Dr Ste 225
Arvada, CO 80003-2133
Phone
(303) 431-8881
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 120476 IA
Audiologist-Hearing Aid Fitter 237600000X 1234 CO Primary

Addresses

Primary practice location

7850 Vance Dr Ste 225
Arvada, CO 80003-2133

Mailing address

3922 Harlan St
Wheat Ridge, CO 80033-5114
Phone (865) 254-4228

Other practice location 1

4801 E Linwood Blvd
Kansas City, MO 64128-2226
Phone (816) 922-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227001069 CO Practitioner - Qualified Audiologist 8426408873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage ENT, LLPGroup PAC ID 4284626912, 11 clinicians

Practice addresses (Care Compare)

7850 Vance Dr
Suite 225
Arvada, CO 80003-2133
Phone (303) 431-8881

Merit-based Incentive Payment System (MIPS)

Final score
89.91 of 100Reported as group
Quality
79.82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1234COMDPsychiatric/Mental Health Registered Nurse
120476IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage ENT, LLP CurrentSince Dec 11, 2023 Accepting new patients

Locations

7850 Vance Dr
Ste 225
Arvada, CO 80003
Phone (303) 255-5680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBDHBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1326767880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 HARLAN ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335114",
            "telephone_number": "865-254-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VANCE DR STE 225",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800032133",
            "telephone_number": "303-431-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 E Linwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641282226",
            "country_code": "US",
            "telephone_number": "816-922-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFENDERFER",
        "first_name": "JESSICA",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "120476",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CO",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.