Individual provider Active NPI

Jessica R. Breese, C.N.M.

  • Midwife
  • Denver, CO
National Provider Identifier
1942208798
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
122261 Issued in CO
Practice address
1551 S Flamingo Way
Denver, CO 80222-3909
Phone
(303) 757-2802
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 122261 CO Primary

Addresses

Primary practice location

1551 S Flamingo Way
Denver, CO 80222-3909

Mailing address

1551 S Flamingo Way
Denver, CO 80222-3909
Phone (303) 757-2802

Other identifiers 1

IdentifierTypeStateIssuer
68982216MedicaidCO

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000074 CO Practitioner - Certified Nurse Midwife (CNM) 7315030152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

10099 Ridgegate Pkwy
Suite 280
Lone Tree, CO 80124-5534
Phone (303) 706-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
122261COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates CurrentSince Oct 31, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 11, 2013 Accepting new patients
Denver Health and Hospital Authority CurrentSince Oct 11, 2013 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients

Locations

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

777 Bannock St
Denver, CO 80204

10099 Ridgegate Pkwy
Ste 280
Lone Tree, CO 80124
Phone (303) 325-2185

Interoperability endpoints

  • Direct secure messaging: jbreese6743@direct.dhha.org
  • Direct secure messaging: jessica.breese.1@8558.direct.athenahealth.com

Organizations & group practices 4

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1942208798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 S FLAMINGO WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223909",
            "telephone_number": "303-757-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 S FLAMINGO WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223909",
            "telephone_number": "303-757-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREESE",
        "first_name": "JESSICA",
        "middle_name": "R.",
        "credential": "C.N.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "122261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68982216",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.