Individual provider Active NPI

Jessica S Smith

  • Family Nurse Practitioner
  • Delta, CO
National Provider Identifier
1407518566
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0997141-NP Issued in CO
Practice address
296 Stafford LN
Delta, CO 81416-2273
Phone
(970) 874-5777
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0997141-NP CO Primary

Addresses

Primary practice location

296 Stafford LN
Delta, CO 81416-2273

Mailing address

PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-7681

Other practice location 1

255 S Grand Mesa Dr
Cedaredge, CO 81413-3822
Phone (970) 856-4111

Other practice location 2

1450 Burgess St
Delta, CO 81416-2849
Phone (970) 874-7668

Other practice location 3

1501 E 3rd St
Delta, CO 81416-2815
Phone (970) 874-7681

Other practice location 4

230 Hotchkiss Ave
Hotchkiss, CO 81419-7608
Phone (970) 872-1400

Other identifiers 1

IdentifierTypeStateIssuer
9000200652MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220309001264 CO Practitioner - Nurse Practitioner 9537554530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians

Practice addresses (Care Compare)

230 E Hotchkiss Ave
West Elk Hotchkiss
Hotchkiss, CO 81419-9503
Phone (970) 872-1400

296 Stafford LN
Delta, CO 81416-2243
Phone (970) 399-2635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0003332COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital Urgent Care CurrentSince Nov 24, 2021 Accepting new patients
Delta County Memorial Hospital CurrentSince Nov 24, 2021 Accepting new patients
Delta County Memorial Hospital Urgent Care Current Accepting new patients
Delta County Memorial Hospital Counselor Past Accepting new patients

Locations

70 Stafford Ln
Unit A
Delta, CO 81416
Phone (970) 874-6008

296 Stafford Ln
Ste A
Delta, CO 81416
Phone (970) 874-5777

555 Meeker St
Delta, CO 81416
Phone (970) 201-1467

296 Stafford Ln
Ste B
Delta, CO 81416
Phone (970) 874-4427

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

70 Stafford Ln
Delta, CO 81416
Phone (970) 399-2880

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

230 Hotchkiss Ave
Hotchkiss, CO 81419
Phone (970) 872-1400

Interoperability endpoints

  • Direct secure messaging: jessica.smith.1@12539.direct.athenahealth.com

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 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1407518566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10100",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814160008",
            "telephone_number": "970-874-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 STAFFORD LN",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814162273",
            "telephone_number": "970-874-5777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Grand Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Cedaredge",
            "state": "CO",
            "postal_code": "814133822",
            "country_code": "US",
            "telephone_number": "970-856-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Burgess St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162849",
            "country_code": "US",
            "telephone_number": "970-874-7668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814162815",
            "country_code": "US",
            "telephone_number": "970-874-7681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hotchkiss Ave",
            "address_purpose": "LOCATION",
            "city": "Hotchkiss",
            "state": "CO",
            "postal_code": "814197608",
            "country_code": "US",
            "telephone_number": "970-872-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JESSICA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997141-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200652",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.