Individual provider Active NPI

Jessica Suhowatsky, NP

  • Women's Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1679096291
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
995781 Issued in CO
Practice address
4500 E 9TH Ave
Denver, CO 80220-3912
Phone
(720) 848-0000
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN210257 AZ
Registered Nurse 163W00000X 209334 TN
Adult Health Nurse Practitioner 363LA2200X AP10631 AZ
Women's Health Nurse Practitioner 363LW0102X 61266 NM
Women's Health Nurse Practitioner 363LW0102X 830951 NV
Women's Health Nurse Practitioner 363LW0102X AP10631 AZ
Women's Health Nurse Practitioner 363LW0102X 995781 CO Primary

Addresses

Primary practice location

4500 E 9TH Ave
Denver, CO 80220-3912

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice location 1

9195 Grant St Ste 410
Thornton, CO 80229-4388
Phone (303) 280-2229

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
I20220104002091 CO Practitioner - Nurse Practitioner 6608135231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

4500 E 9TH Ave,
Cu Medicine Obstetrics and Gynecology East de
Denver, CO 80220-3921
Phone (303) 399-0055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209334TNMDRegistered Nurse
995781COMDWomen's Health Nurse Practitioner
61266NMMDWomen's Health Nurse Practitioner
830951NVMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2022 Accepting new patients
University Physicians Incorporated Obstetrics & Gynecology Current Accepting new patients
University Physicians, Incorporated CurrentSince Jul 1, 2023 Accepting new patients
University Physicians, Incorporated CurrentSince Jul 1, 2023 Accepting new patients

Locations

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1100 Federal Blvd
Denver, CO 80204
Phone (303) 436-4200

4500 E 9th Ave
Ste 200S
Denver, CO 80220
Phone (303) 399-0055

4500 E 9th Ave
Ste 200
Denver, CO 80220
Phone (303) 399-0055

777 Bannock St
Denver, CO 80204

Dept 1061
Denver, CO 80256

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 and National Provider Directory roles.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1679096291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203912",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9195 Grant St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294388",
            "country_code": "US",
            "telephone_number": "303-280-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUHOWATSKY",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN210257",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "209334",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP10631",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NM",
            "license": "61266",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NV",
            "license": "830951",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP10631",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "995781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.