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SOPHIA JULIA JAECKEL DO
NPI 1871348649
Student in an Organized Health Care Education/Training Program in Grand Junction, CO

Active since April 23, 2024PECOS Enrolled
2698 PATTERSON RD STE 100, GRAND JUNCTION, CO 81506(970) 298-2874 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 26, 2024, Apr 23, 2024 (2 updates tracked since 2024).

About Sophia Julia Jaeckel Do NPPES

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

SOPHIA JULIA JAECKEL DO (NPI 1871348649) is an individual student in an organized health care education/training program in Grand Junction, Colorado, licensed in Colorado (0010212) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871348649
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOPHIA JULIA JAECKELCredential: DO
Location Address2698 PATTERSON RD STE 100Grand Junction, CO 81506-8211
Mailing Address1880 Dover StLakewood, CO 80215-3187 · (720) 243-2598
Phone(970) 298-2874
Sole ProprietorNo
Enumeration DateApril 23, 2024
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1871348649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · 0010212
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0010212 (CO)
2698 PATTERSON RD STE 100, Grand Junction, CO 81506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Julia Jaeckel Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

AMY LEININGER
Social Worker
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
ERIN CAITLIN COSCIA
Student in an Organized Health Care Education/Training Program
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2874
MICHAELA ALYSE THURSTON
Family Medicine
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2273
DR. BRANTLEY BOND DO
Hospitalist
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (702) 982-8009
RYAN GILLUM MD
Family Medicine
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (907) 298-2800
ETHAN W SEYMOUR DO
Family Medicine
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (978) 298-2195
RACHEL ANNE NEUNER LIVINGSTON PLMFT
Marriage & Family Therapist
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2800
LUKAS RICHARD OMMEN MD
Student in an Organized Health Care Education/Training Program
2698 PATTERSON RD STE 100
GRAND JUNCTION, CO 81506
Mesa County (970) 298-2874

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 Sophia Jaeckel's NPI number?

The NPI number for Sophia Jaeckel is 1871348649. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Sophia Jaeckel located?

Sophia Jaeckel practices at 2698 Patterson Rd Ste 100, Grand Junction, CO 81506. The listed phone number is (970) 298-2874.

What is Sophia Jaeckel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sophia Jaeckel enrolled in Medicare?

Yes. Sophia Jaeckel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sophia Jaeckel was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.