Individual provider Active NPI

Jessica Souvatdy Mehrara, FNP-C

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1871151324
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0994737-NP Issued in CO
Practice address
1400 Jackson St
Denver, CO 80206-2762
Phone
(303) 388-4461
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0994737-NP CO Primary

Addresses

Primary practice location

1400 Jackson St
Denver, CO 80206-2762

Mailing address

6500 E Bayaud Ave Unit a
Denver, CO 80224-3836
Phone (479) 719-9215

Other practice location 1

1920 N High St
Denver, CO 80218-1213
Phone (303) 320-5871

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
I20260203003051 CO Practitioner - Nurse Practitioner 4981182581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Jewish HealthGroup PAC ID 4587577028, 244 clinicians

Practice addresses (Care Compare)

1400 Jackson St
Denver, CO 80206-2761
Phone (303) 398-1355

Hospital & facility affiliations

  • National Jewish Health Hospital, Denver, CO, CCN 060107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994737-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Jewish Health CurrentSince Feb 1, 2026 Accepting new patients

Locations

1400 Jackson St
Denver, CO 80206
Phone (303) 388-4461

Organizations & group practices 1

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 1

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1871151324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 E BAYAUD AVE UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243836",
            "telephone_number": "479-719-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062762",
            "telephone_number": "303-388-4461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 N High St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181213",
            "country_code": "US",
            "telephone_number": "303-320-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHRARA",
        "first_name": "JESSICA",
        "middle_name": "SOUVATDY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0994737-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.