JESSICA BOUSSELAIRE NP
NPI 1063294437
Nurse Practitioner - Family in Parker, CO

Q: What is Jessica Bousselaire's NPI number?

The NPI number for Jessica Bousselaire is 1063294437. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Q: What is Jessica Bousselaire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment

12230 LIONESS WAY, PARKER, CO 80134(720) 644-9355 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Oct 19, 2023 (2 updates tracked since 2023).

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About Jessica Bousselaire Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA BOUSSELAIRE NP (NPI 1063294437) is an individual family provider in Parker, Colorado, licensed in Colorado (APN.0999163-NP) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Littleton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063294437

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA BOUSSELAIRECredential: NP

Location Address12230 LIONESS WAYParker, CO 80134-5603

Mailing Address9250 E Costilla Ave Ste 540Greenwood Village, CO 80112-3648 · (720) 644-9355

Phone(720) 644-9355

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 19, 2023

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1063294437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CO · APN.0999163-NP

12230 LIONESS WAY, Parker, CO 80134

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Secondary Practice Location 1

Location 16850 W Polk PlLittleton, CO 80123-3640 · Phone (720) 939-1369

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Bousselaire Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082066204

PECOS Enrollment IDI20240123003101

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Bousselaire reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Consultants PLLC

4.3 mi

Internal Medicine

9250 E COSTILLA AVE STE 540
Greenwood Village, CO 80112

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Summit Medical Consultants Aco Prof LLC
89 clinicians in this Medicare group

NPI 1265822910 (720) 644-9355

Summit Medical Consultants PLLC

4.3 mi

Internal Medicine

9250 E COSTILLA AVE STE 540
Greenwood Village, CO 80112

Reassigned Medicare billing, Colorado enrollment
91 clinicians in this Medicare group

NPI 1265822910 (720) 644-9355

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

852 services126 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

501 services146 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

77 services71 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

43 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

23 services23 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTEN DEROODE PA-C

Physician Assistant (Medical)