NPIMap

Individual provider Active NPI

Jessica Hersh, DO

  • Family Medicine Physician
  • Greeley, CO
National Provider Identifier
1467035519
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0074145 Issued in CO
Practice address
2520 W 16TH St
Greeley, CO 80634-4941
Phone
(970) 356-2520
Fax
(970) 356-6928
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0074145 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X BP10075206 TX

Addresses

Primary practice location

2520 W 16TH St
Greeley, CO 80634-4941

Mailing address

6801 W 20TH St Unit 101
Greeley, CO 80634-9640
Phone (970) 378-8000

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
I20241120004383 CO Practitioner - Family Practice 2668873092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Physicians of Greeley LLPGroup PAC ID 0143115691, 28 clinicians

Practice addresses (Care Compare)

2520 W 16TH St
Greeley, CO 80634-4902
Phone (970) 356-2520

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

Merit-based Incentive Payment System (MIPS)

Final score
81.44 of 100Reported as group
Quality
79.72
Improvement activities
40
Cost
75.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0074145COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physicians of Greeley, LLP Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Family Physicians of Greeley LLP Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
North Colorado Medical Center Past Accepting new patients

Locations

2520 W 16th St
Greeley, CO 80634
Phone (970) 356-2520

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

6801 W 20th St
Unit 101
Greeley, CO 80634
Phone (970) 378-8000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jessica.hersh.p1@direct.fpgreeley.nextgenshare.com
  • Direct secure messaging: jhersh355305@ahs.direct-ci.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 12

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1467035519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 W 20TH ST UNIT 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349640",
            "telephone_number": "970-378-8000",
            "fax_number": "970-378-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344941",
            "telephone_number": "970-356-2520",
            "fax_number": "970-356-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSH",
        "first_name": "JESSICA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0074145",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10075206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.