Individual provider Active NPI

Jennifer Lee Bishara, FNP-C

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1609590140
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0998058-NP Issued in CO
Practice address
20 W Dry Creek Cir
Littleton, CO 80120-4478
Phone
(303) 703-8583
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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.0998058-NP CO Primary

Addresses

Primary practice location

20 W Dry Creek Cir
Littleton, CO 80120-4478

Mailing address

20 W Dry Creek Cir
Littleton, CO 80120-4478
Phone (303) 703-8583

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
I20221123000121 CO Practitioner - Nurse Practitioner 5294103289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

19641 E Parker Square Dr a
Prac PC Aspen Creek
Parker, CO 80134-7397
Phone (303) 840-3800

Hospital & facility affiliations

  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0998058-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 1, 2023 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2023 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

19641 E Parker Square Dr
Ste A
Parker, CO 80134
Phone (303) 406-0080

Interoperability endpoints

  • Direct secure messaging: jbishara2049584@adventhealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1609590140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W DRY CREEK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204478",
            "telephone_number": "303-703-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W DRY CREEK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204478",
            "telephone_number": "303-703-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998058-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.