Jessica Rachele Van Valkenburg, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

836713 Issued in NV

Practice address

2001 Errecart Blvd
Elko, NV 89801-8333

Phone

(775) 738-5151

NPI assigned

Aug 28, 2023

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marshall Former name

Medicare fee-for-service enrollment

Enrolled in NV

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Nevada Physician Practices LLCGroup PAC ID 3779649223, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeastern Nevada Physician Practices LLC

  • Internal Medicine Physician
  • Elko, NV
  • NPI 1457599458
  Medicare reassignment Care Compare group NPD
• Northeastern Nevada Physician Practices LLC

  • Family Medicine Physician
  • Elko, NV
  • NPI 1730408949
  NPD
• PHC-Elko Inc

  dba Northeastern Nevada Regional Hospital

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  NPD (past)

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

• PHC-Elko Inc

  dba Northeastern Nevada Regional Hospital

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1366227399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 AESOP DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898157066",
            "telephone_number": "307-371-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ERRECART BLVD",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018333",
            "telephone_number": "775-738-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "727 Aesop Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Creek",
            "state": "NV",
            "postal_code": "898157066",
            "country_code": "US",
            "telephone_number": "307-371-2539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VALKENBURG",
        "first_name": "JESSICA",
        "middle_name": "RACHELE",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "836713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARSHALL",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• University of Utah Dept of OB/GYN Maternal Fetal Medicine
• University of Utah Specialty Services (Maternal Fetal Medicine- Elko)
• Julia Unruh
• Melissa Ure
• US Holdings LLC (LifeQuest Behavioral Health Care)
• Dirk Denier Vandergon, MD
• Kesia Vargas
• Cherelyn M Vazquez
• Robinita Ambriz Velasquez, PA-C
• Brent D Venters, PSYD

• Psychiatric/Mental Health Nurse Practitioner in Elko, NV
• Providers in Elko, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.