Individual provider Active NPI

Jessica Renee Bogart

  • Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1891549341
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0999854 Issued in CO
Practice address
20789 E Princeton PL
Aurora, CO 80013-6057
Phone
(719) 680-2666
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.1644219 CO
Nurse Practitioner 363L00000X 0999854 CO Primary

Addresses

Primary practice location

20789 E Princeton PL
Aurora, CO 80013-6057

Mailing address

20789 E Princeton PL
Aurora, CO 80013-6057
Phone (719) 680-2666

Other names 1

  • Jessica Renee Marshall Former name

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
I20240813003623 CO Practitioner - Nurse Practitioner 5597203240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Clinic Services - Cardiovascular LLCGroup PAC ID 0244459998, 10 clinicians

Practice addresses (Care Compare)

1444 S Potomac St
Suite 200
Aurora, CO 80012-4509
Phone (303) 226-4650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1644219COMDCritical Care Medicine Registered Nurse
0999854COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Cardiovascular LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

1444 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 214-0000

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jessica.bogart@hca3.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1891549341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20789 E PRINCETON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136057",
            "telephone_number": "719-680-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20789 E PRINCETON PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800136057",
            "telephone_number": "719-680-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGART",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "RN.1644219",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0999854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARSHALL",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.