JESSICA SUSANA NEDOM NP NPI 1184936627

NPI Information

  • NPI: 1184936627
  • Provider Name: JESSICA SUSANA NEDOM, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2930 11TH AVE
    EVANS, CO
    ZIP 80620
  • Phone: (970) 353-9403

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NPI Details

Jessica Susana Nedom, NP is a family nurse practitioner in Evans, CO. Jessica Susana Nedom, NP NPI is 1184936627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2930 11TH AVE
EVANS, CO
ZIP 80620-011
Phone: (970) 353-9403
Fax: (970) 353-9906

The NPI 1184936627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, clotting time (HCPCS:85610)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Hemoglobin a1c level (HCPCS:83036)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza (HCPCS:87428)

The enumeration date for this NPI number is 7/13/2010 and was last updated on 12/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse176219COLORADONo
2363LF0000XNurse PractitionerFamily10334COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1COA105349MEDICARE OSCAR/CERTIFICATION
237179870MEDICAIDCOLORADO
3COA105349MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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