JESSICA WETTLIN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508576778

JESSICA WETTLIN (PMHNP) is a healthcare provider. based in Denver, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 10083 (MN). The NPI Number for JESSICA WETTLIN (PMHNP) is 1508576778

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA WETTLIN (PMHNP)
NPI
1508576778
Phone
(720) 310-2773
Address
4155 E Jewell Ave Ste 600
Enumeration Date
29 November 2022
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9527467664
Graduation Year
2020 (6 years ago)
PAC ID
5991167470
Group Practice PAC ID
3678625035
Professional Enrollment ID
I20230815003706
Address ID
MN553784400SA8640XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for JESSICA WETTLIN (PMHNP)

  • 4155 E Jewell Ave Ste 600

    Denver, CO 802224510

    Phone: (720) 310-2773

    Type: Location

  • 1942 Broadway Ste 314C

    Boulder, CO 803025233

    Phone: (719) 223-9064

    Type: Location

  • 8640 EAGLE CREEK CIR

    SAVAGE, MN 553784400

    Phone: (952) 746-7664

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,821.

Total Amount is formed as General ($1,821) + Research ($0) + Ownership ($0) = $1,821.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($288).

Total Amount

$1,821

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230815003706INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80222)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678625035View full group profile
NameSpecialtyState
Mental Health CounselorMN
Mental Health CounselorMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Clinical PsychologistMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

How is JESSICA WETTLIN (PMHNP) identified in CMS data?
CMS-hosted NPPES data lists JESSICA WETTLIN (PMHNP) with NPI 1508576778.
Is JESSICA WETTLIN (PMHNP) still practicing?
JESSICA WETTLIN (PMHNP) is currently listed as active in the public NPI registry.
What is JESSICA WETTLIN (PMHNP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for JESSICA WETTLIN (PMHNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA WETTLIN (PMHNP)?
JESSICA WETTLIN (PMHNP)'s geographic hint is Denver, Colorado in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.