Individual provider Active NPI

Jessica Ann Burton-Vigil, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Fe, NM
National Provider Identifier
1376840736
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0990494-CRNA Issued in CO
Practice address
2247 Calle Cacique
Santa Fe, NM 87505-4944
Phone
(719) 351-6025
NPI assigned
Feb 22, 2011
Last updated
Oct 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0990494-CRNA CO Primary

Addresses

Primary practice location

2247 Calle Cacique
Santa Fe, NM 87505-4944

Mailing address

2247 Calle Cacique
Santa Fe, NM 87505-4944
Phone (719) 351-6025

Other identifiers 7

IdentifierTypeStateIssuer
04035054MedicaidCO
16834542MedicaidCO
601718MedicaidAZ
1376840736MedicaidUT
P00971956OtherNMRR MEDICARE PTAN
P01126137OtherCOMEDICARE RAILROAD
74659065MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121010000205 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688851280 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.89 of 100Reported as apm
Quality
86.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Anesthesia Professionals, PC CurrentSince May 1, 2015 Accepting new patients
Grand River Hospital District Current Accepting new patients
Grand River Hospital District Current Accepting new patients
Grand River Hospital District CurrentSince Oct 1, 2021 Accepting new patients
Grand River Hospital District CurrentSince Oct 1, 2021 Accepting new patients
Cardinal Pathology PC Current Accepting new patients
Ecgj Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 30, 2018 Accepting new patients
Grand River Hospital District Current Accepting new patients
Four Corners Anesthesia, P.a. Nurse Anesthetist, Certified Registered PastSince Jul 1, 2009 Accepting new patients
University of Washington Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1035 Wellington Ave
Grand Junction, CO 81501
Phone (970) 242-6600

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Organizations & group practices 10

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 1

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": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1376840736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 CALLE CACIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054944",
            "telephone_number": "719-351-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 CALLE CACIQUE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054944",
            "telephone_number": "719-351-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON-VIGIL",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0990494-CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04035054",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16834542",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601718",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376840736",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00971956",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01126137",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74659065",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.