Individual provider Active NPI

Jessie Reines, FNP

  • Family Nurse Practitioner
  • Montrose, CO
National Provider Identifier
1457032435
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998931-NP Issued in CO
Practice address
947 S 5TH St
Montrose, CO 81401-5716
Phone
(970) 249-2421
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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.0998931-NP CO Primary

Addresses

Primary practice location

947 S 5TH St
Montrose, CO 81401-5716

Mailing address

947 S 5TH St
Montrose, CO 81401-5716
Phone (970) 249-2421

Other practice location 1

242 Cottonwood St Ste 101
Delta, CO 81416-4404
Phone (970) 249-2421

Other practice location 2

906 S 4th St
Montrose, CO 81401-4226
Phone (970) 249-2421

Other identifiers 3

IdentifierTypeStateIssuer
1033614334MedicaidCO
1548261324MedicaidCO
1831694231MedicaidCO

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
I20250115003384 CO Practitioner - Nurse Practitioner 5294263463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Fork Health Services DistrictGroup PAC ID 4981513835, 5 clinicians

Practice addresses (Care Compare)

700 N Henson
Lake City, CO 81235

700 N Henson St
Lake City, CO 81235-5127
Phone (970) 944-2331

721 Wildflower Rd
Lake City, CO 81235-5295

PO Box
Suite 999
Lake City, CO 81235

Hospital & facility affiliations

  • Gunnison Valley Hospital Hospital, Gunnison, CO, CCN 061320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998931-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Fork Health Services District CurrentSince Dec 1, 2024 Accepting new patients
Pediatric Associates Prof LLC Past Accepting new patients
Lake City Dental Clinic PastSince Nov 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessie.reines.1@19288.direct.athenahealth.com

Organizations & group practices 3

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": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1457032435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015716",
            "telephone_number": "970-249-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S 5TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015716",
            "telephone_number": "970-249-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Cottonwood St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "814164404",
            "country_code": "US",
            "telephone_number": "970-249-2421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "906 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014226",
            "country_code": "US",
            "telephone_number": "970-249-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINES",
        "first_name": "JESSIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998931-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033614334",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548261324",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831694231",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.