JESSICA DACIC
NPI 1154966174
Advanced Practice Midwife in Boulder, CO

Active since November 13, 2019PECOS EnrolledAccepts Medicare Assignment
4840 RIVERBEND RD STE 100, BOULDER, CO 80301(303) 415-4045(303) 415-4046 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Jan 6, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

About Jessica Dacic NPPES

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

JESSICA DACIC (NPI 1154966174) is an individual advanced practice midwife in Boulder, Colorado, licensed in Colorado (APN-0995233-CNM) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154966174
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJESSICA DACIC
Location Address4840 RIVERBEND RD STE 100Boulder, CO 80301-2633
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4045 · Fax (303) 415-4046
Fax(303) 415-4046
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 13, 2019
Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
NPI 1154966174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in CO · APN-0995233-CNM
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1618824 (CO)
4840 RIVERBEND RD STE 100, Boulder, CO 80301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jessica Dacic 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 ID9335575497
PECOS Enrollment IDI20200207002402
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 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
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 2

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

Chiropractor (Neurology)
4840 RIVERBEND RD STE 100
BOULDER, CO 80301
Clinic/Center (Medical Specialty)
4840 RIVERBEND RD STE 100
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Dacic's NPI number?

The NPI number for Jessica Dacic is 1154966174. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Jessica Dacic located?

Jessica Dacic practices at 4840 Riverbend Rd Ste 100, Boulder, CO 80301. The listed phone number is (303) 415-4045.

What is Jessica Dacic's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Jessica Dacic enrolled in Medicare?

Yes. Jessica Dacic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Dacic accept?

Health plans from UnitedHealthcare list Jessica Dacic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Dacic was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.