Individual provider Active NPI

Jessica Lee Ochs, PA-C

  • Surgical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1407942485
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2315 Issued in CO
Practice address
10807 New Allegiance Dr
Suite 400
Colorado Springs, CO 80921-3796
Phone
(719) 550-8346
Fax
(719) 550-0304
NPI assigned
Oct 5, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2315 CO Primary
Surgical Physician Assistant 363AS0400X PENDING CO

Addresses

Primary practice location

10807 New Allegiance Dr
Suite 400
Colorado Springs, CO 80921-3796

Mailing address

4875 Cheyenne Dr
Larkspur, CO 80118-8514
Phone (719) 393-5856

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
I20160223000801 CO Practitioner - Physician Assistant 3779888144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2315COMDPsychologist
PENDINGCOMDFamily Medicine Physician

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1407942485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 CHEYENNE DR",
            "city": "LARKSPUR",
            "state": "CO",
            "postal_code": "801188514",
            "telephone_number": "719-393-5856",
            "fax_number": "719-550-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10807 NEW ALLEGIANCE DR",
            "address_2": "SUITE 400",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213796",
            "telephone_number": "719-550-8346",
            "fax_number": "719-550-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHS",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2315",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PENDING",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.