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JESSICA SUSANA NEDOM NP
NPI 1184936627
Nurse Practitioner - Family in Evans, CO

Active since July 13, 2010PECOS Enrolled
2930 11TH AVE, EVANS, CO 80620(970) 353-9403(970) 353-9906 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Susana Nedom Np NPPES

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

JESSICA SUSANA NEDOM NP (NPI 1184936627) is an individual family provider in Evans, Colorado, licensed in Colorado (10334) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Commerce City, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1184936627
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA SUSANA NEDOMCredential: NP
Location Address2930 11TH AVEEvans, CO 80620-1011
Mailing Address2930 11th AveEvans, CO 80620-1011 · (970) 353-9403 · Fax (970) 353-9906
Phone(970) 353-9403
Fax(970) 353-9906
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 13, 2010
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1184936627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 10334
Also ListedRegistered NurseTaxonomy 163W00000X · License 176219 (CO)
2930 11TH AVE, Evans, CO 80620
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Other Names 1

Former Name (1)Jessica Susana Rodriguez Munoz Rn

Secondary Practice Location 1

Location 15996 E 64th AveCommerce City, CO 80022-3317 · Phone (720) 463-6758 · Fax (720) 640-3314

Other Identifiers 1

Medicaid37179870CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Susana Nedom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840476651
PECOS Enrollment IDI20110512000021
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
247 services131 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services56 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.
61 services61 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80620 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims61 services$5.73 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers12 claims12 services$12.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$89.86 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JENNIFER A CARAGOL MD
Family Medicine
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
FELICIA MARIE DOHERTY PA-C
Physician Assistant
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
JESSICA KANNEY
Student in an Organized Health Care Education/Training Program
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120
KALEIGH NICOLE ROSE RD, CLC
Dietitian, Registered
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 395-1113
MRS. AMY IRENE ENDRIS
Student in an Organized Health Care Education/Training Program
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120
SUNRISE COMMUNITY HEALTH
Pharmacy (Clinic Pharmacy)
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 395-9011
DR. SARAH FLORENCE HODACK MD
Family Medicine
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
ESTHER AGUILA MSW
Social Worker (Clinical)
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120

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 Nedom's NPI number?

The NPI number for Jessica Nedom is 1184936627. It was assigned to this individual provider in the NPPES registry on July 13, 2010. The provider is also known as Jessica Susana Rodriguez Munoz Rn.

Where is Jessica Nedom located?

Jessica Nedom practices at 2930 11th Ave, Evans, CO 80620. The listed phone number is (970) 353-9403.

What is Jessica Nedom's specialty?

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

Is Jessica Nedom enrolled in Medicare?

Yes. Jessica Nedom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Nedom was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.