JESSICA MONTALBAN BAUTISTA DO, MS - NPI 1629655006

Q: What is Jessica Bautista's NPI number?

The NPI number for Jessica Bautista is 1629655006. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Jessica Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Bautista was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Montalban Bautista Do, Ms NPPES

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

JESSICA MONTALBAN BAUTISTA DO, MS (NPI 1629655006) is an individual family medicine provider in Parker, Colorado, licensed in Colorado (DR.0069284) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629655006

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJESSICA MONTALBAN BAUTISTACredential: DO, MS

Location Address19641 E PARKER SQUARE DR STE AParker, CO 80134-7397

Mailing Address19641 E Parker Square Dr Ste AParker, CO 80134-7397 · (303) 840-3800 · Fax (303) 840-8442

Phone(303) 840-3800

Fax(303) 840-8442

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1629655006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0069284

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

19641 E PARKER SQUARE DR STE A, Parker, CO 80134

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Secondary Practice Location 1

Location 11501 S Potomac StAurora, CO 80012-5411 · Phone (303) 695-2600

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 Montalban Bautista Do, Ms 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 ID7113451667

PECOS Enrollment IDI20241106004173

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 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 5

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

DEIRDRE M MARCHETTI NP

Nurse Practitioner (Family)