NPIMap

Individual provider Active NPI

Jennifer L Rapiejko, MMS, PA-C

  • Surgical Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1457456550
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1902 Issued in CO
Practice address
627 25 1/2 Rd
Grand Junction, CO 81505-6401
Phone
(970) 242-3535
Fax
(970) 683-2745
NPI assigned
Sep 13, 2006
Last updated
Sep 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1902 CO Primary

Addresses

Primary practice location

627 25 1/2 Rd
Grand Junction, CO 81505-6401

Mailing address

627 25 1/2 Rd
Grand Junction, CO 81505-6401
Phone (970) 242-3535

Other identifiers 1

IdentifierTypeStateIssuer
09520015MedicaidCO

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
I20040525000887 CO Practitioner - Physician Assistant 5496736605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Valley OrthopedicsGroup PAC ID 8820353964, 27 clinicians
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

2373 G Rd
Grand Junction, CO 81505-1003

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.93 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3043AZMDClinical Psychologist
1902COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Valley Orthopedics CurrentSince Jul 1, 2018 Accepting new patients
Community Medical Group, LLC CurrentSince May 17, 2025 Accepting new patients
Colorado West Healthcare System CurrentSince May 17, 2025 Accepting new patients
Grand Valley Orthopedics CurrentSince Jul 1, 2018 Accepting new patients
Community Medical Group, LLC CurrentSince May 17, 2025 Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

688 23 12 Rd Ste 101
Grand JCT, CO 81505

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

2373 G Rd
Ste 160
Grand Junction, CO 81505
Phone (970) 263-2680

Organizations & group practices 9

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 6

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1457456550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 25 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056401",
            "telephone_number": "970-242-3535",
            "fax_number": "970-683-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 25 1/2 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815056401",
            "telephone_number": "970-242-3535",
            "fax_number": "970-683-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPIEJKO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09520015",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.