NPIMap

Individual provider Active NPI

Jessica Marion Baer Mears, DO

  • Rheumatology Physician
  • Fruita, CO
National Provider Identifier
1447410568
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
DR.0052248 Issued in CO
Practice address
576 Kokopelli Blvd Unit D-E
Fruita, CO 81521-6304
Phone
(970) 858-2590
Fax
(970) 858-5036
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0052248 CO
Rheumatology Physician 207RR0500X 52248 CO
Rheumatology Physician 207RR0500X DR.0052248 CO Primary

Addresses

Primary practice location

576 Kokopelli Blvd Unit D-E
Fruita, CO 81521-6304

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessicamears1@fhwco.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218001381 CO Practitioner - Rheumatology 7012144066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

576 Kokopelli Blvd
Suite D
Fruita, CO 81521-6304

P O Box
Suite 130
Fruita, CO 81521-0130

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52248COMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Valley Hospital Association Rheumatology Current Accepting new patients
Lower Valley Hospital Association CurrentSince Jan 3, 2018 Accepting new patients

Locations

576 Kokopelli Blvd
Unit De
Fruita, CO 81521
Phone (970) 858-2590

576 Kokopelli Blvd
Unit D
Fruita, CO 81521
Phone (970) 858-2228

300 W Ottley Ave
#W
Fruita, CO 81521

551 Kokopelli Blvd
Unit D
Fruita, CO 81521

Organizations & group practices 2

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 9

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1447410568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 KOKOPELLI BLVD UNIT D-E",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216304",
            "telephone_number": "970-858-2590",
            "fax_number": "970-858-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARS",
        "first_name": "JESSICA",
        "middle_name": "MARION BAER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0052248",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "52248",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CO",
            "license": "DR.0052248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessicamears1@fhwco.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Family Health West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "576 Kokopelli Blvd Unit D-E",
            "city": "Fruita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815216304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

Verify at the official NPI Registry.