Jessica Bousselaire, NP in Parker, CO - Medicare Nurse Practitioner

Jessica Bousselaire, NP is a medicare enrolled "Nurse Practitioner - Family" in Parker, Colorado. Her current practice location is 12230 Lioness Way, Parker, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 644-9355.

Jessica Bousselaire is licensed to practice in Colorado (license number APN.0999163-NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063294437.

Contact Information

	Jessica Bousselaire, NP
	12230 Lioness Way, Parker, CO 80134-5603
	(720) 644-9355
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Bousselaire
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12230 Lioness Way, Parker, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063294437
Provider Enumeration Date: 10/19/2023
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4082066204
Enrollment ID: I20240123003101

Medical Identifiers

Medical identifiers for Jessica Bousselaire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063294437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APN.0999163-NP (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Bousselaire allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265822910 PECOS PAC ID: 0547589517 Enrollment ID: O20150427000047

Entity Name	Summit Medical Consultants Aco Prof Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891471207 PECOS PAC ID: 2961865993 Enrollment ID: O20230824000305

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Bousselaire is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Bousselaire, NP 9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112-3648 Ph: (720) 644-9355	Jessica Bousselaire, NP 12230 Lioness Way, Parker, CO 80134-5603 Ph: (720) 644-9355

Reviews and Comments

Nurse Practitioner Nurses in Parker, CO

Rebekah Lynn Petkoff, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12959 S Parker Rd, Parker, CO 80134 Phone: 720-842-4089 Fax: 720-842-4090
Hannah Holloran Craven, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19641 E Parker Square Dr Ste E, Parker, CO 80134 Phone: 303-805-2222 Fax: 303-805-2226
Deirdre M Marchetti, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19641 E Parker Square Dr Ste A, Parker, CO 80134 Phone: 303-840-3800 Fax: 303-840-8442
Andrea Crandall, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138 Phone: 720-458-6543 Fax: 720-458-6544
Pollyanna Pastor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9397 Crown Crest Blvd, Ste 220, Parker, CO 80138 Phone: 303-721-1670 Fax: 303-721-8117
Christopher J Walker, NPC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12230 Lioness Way, Parker, CO 80134 Phone: 720-644-9355
Kayla Fergus, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9235 Crown Crest Blvd Ste 100, Parker, CO 80138 Phone: 360-265-2256

Jessica Bousselaire, NP - Medicare Nurse Practitioner in Parker, CO