NPIMap

Individual provider Active NPI

Jessica Johnson-Cameron, ANESTHESIOLOGIST ASS

  • Anesthesiologist Assistant
  • Colorado Springs, CO
National Provider Identifier
1598915563
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
ANT.0000334 Issued in CO
Practice address
1400 E Boulder St Ste 1183
Colorado Springs, CO 80909-5533
Phone
(719) 365-6999
Fax
(719) 365-2837
NPI assigned
Sep 25, 2008
Reactivated
Sep 7, 2021
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 67.000368 OH
Anesthesiologist Assistant 367H00000X ANT.0000334 CO Primary

Addresses

Primary practice location

1400 E Boulder St Ste 1183
Colorado Springs, CO 80909-5533

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other practice location 1

234 Goodman St
Cincinnati, OH 45219-2364
Phone (513) 475-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OH, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160208001071 SC Practitioner - Anesthesiology Assistant 8921169780 Reassigns benefits to 1 organization
I20210322001600 OH Practitioner - Anesthesiology Assistant 8921169780 Reassigns benefits to 1 organization
I20260512004102 CO Practitioner - Anesthesiology Assistant 8921169780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1400 E Boulder St
1183 Anesthesiology MHC
Colorado Springs, CO 80909-5533
Phone (719) 365-6999

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
47SCMDRegistered Dietitian
005732GAMDPhysical Therapist
ANT.0000334COMDAnesthesiologist Assistant
67.000368OHMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Anesthesiology Consultants, PLLC CurrentSince Nov 30, 2015 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 1, 2022 Accepting new patients
Southeast Anesthesiology Consultants, PLLC CurrentSince Nov 30, 2015 Accepting new patients
Anesco Medical Services-THH LP Past Accepting new patients

Locations

927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

118 Professional Park Dr
Rock Hill, SC 29732
Phone (803) 329-3124

Interoperability endpoints

  • Direct secure messaging: jjohnsoncameron445820@direct.uchealth.com

Organizations & group practices 5

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1598915563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST STE 1183",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-6999",
            "fax_number": "719-365-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Goodman St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192364",
            "country_code": "US",
            "telephone_number": "513-475-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-CAMERON",
        "first_name": "JESSICA",
        "credential": "ANESTHESIOLOGIST ASS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "deactivation_date": "2021-07-14",
        "reactivation_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67.000368",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CO",
            "license": "ANT.0000334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.