Active NPI
Jill C Vesty, N.P.
- Family Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1922072453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 172722
- Practice address
- Colorado State University Health Network
Fort Collins, CO 80523-0001 - Phone
- (970) 491-7121
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 172722 | CO | Primary |
Addresses
Primary practice location
Colorado State University Health Network
Fort Collins, CO 80523-0001
Mailing address
Colorado State University Health Network
Fort Collins, CO 80523-0001
Phone (970) 491-7121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26680874 | Medicaid | CO | |
| 248449 | Other | NE | MIDLANDS CHOICE |
| 121728300 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172722 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | Past | Accepting new patients |
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.
-
- Clinic/Center
- Fort Collins, CO
- NPI 1528156437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1922072453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COLORADO STATE UNIVERSITY HEALTH NETWORK",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805230001",
"telephone_number": "970-491-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COLORADO STATE UNIVERSITY HEALTH NETWORK",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805230001",
"telephone_number": "970-491-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESTY",
"first_name": "JILL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "172722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26680874",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "248449",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121728300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.