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JEFFREY R SEDERLIN
NPI 1366167249
Nurse Practitioner in Cortez, CO

Active since October 04, 2022PECOS EnrolledAccepts Medicare Assignment
69.39/100
CMS Quality Rating
1311A N MILDRED RD, CORTEZ, CO 81321(970) 565-8556 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2026, Dec 7, 2022, Oct 19, 2022 and 1 more (4 updates tracked since 2022).

About Jeffrey R Sederlin NPPES

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

JEFFREY R SEDERLIN (NPI 1366167249) is an individual nurse practitioner in Cortez, Colorado, licensed in Colorado (APN.0998120-NP) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366167249
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJEFFREY R SEDERLIN
Location Address1311A N MILDRED RDCortez, CO 81321-2231
Mailing Address1311 N Mildred RdCortez, CO 81321-2231 · (970) 565-6666
Phone(970) 565-8556
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 4, 2022
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1366167249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CO · APN.0998120-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1661816 (CO)
1311A N MILDRED RD, Cortez, CO 81321
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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

Jeffrey R Sederlin 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 ID9537537618
PECOS Enrollment IDI20221121002089
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 Reassignment

Medicare enrollment records show Jeffrey Sederlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Health System Inc
Same address
Critical Access
1311 N MILDRED RD
Cortez, CO 81321
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1235655838 (Colorado)
  • 75 clinicians in this Medicare group
NPI 1649241571 (970) 565-6666

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.34
Promoting Interoperability81
Improvement Activities40
Cost49.03

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.

SHANNON L FERRARI
Counselor
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8556
DR. KARI MICHELLE BARNARD MD
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8556
DR. KAMEO LYNNAE SMITH D.O.
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8556
JOCELYN HIRSCHMAN MD
Family Medicine
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8556
DR. MARCELYN ANN LEPIQUE M.D.
Obstetrics & Gynecology (Gynecology)
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 564-2662
SOUTHWEST HEALTH SYSTEM, INC.
Clinic/Center (Multi-Specialty)
1311A N MILDRED RD, STE. A
CORTEZ, CO 81321
Montezuma County (970) 564-2681
SHAWN PALMER
Physician Assistant (Medical)
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-6666
CAITLIN MOONEY PA-C
Physician Assistant
1311A N MILDRED RD
CORTEZ, CO 81321
Montezuma County (970) 565-8664

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 Jeffrey Sederlin's NPI number?

The NPI number for Jeffrey Sederlin is 1366167249. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Jeffrey Sederlin located?

Jeffrey Sederlin practices at 1311A N Mildred Rd, Cortez, CO 81321. The listed phone number is (970) 565-8556.

What is Jeffrey Sederlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jeffrey Sederlin enrolled in Medicare?

Yes. Jeffrey Sederlin 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.

Which organization bills Medicare for Jeffrey Sederlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Sederlin reassigns Medicare benefits to Southwest Health System Inc (Cortez, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Sederlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Sederlin was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.