NPIMap

Individual provider Active NPI

Jasmine Marie Soo Greer

  • Obstetrics & Gynecology Physician
  • Greeley, CO
National Provider Identifier
1164913372
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0067903 Issued in CO
Practice address
5881 W 16TH St Ste B
Greeley, CO 80634-2910
Phone
(709) 336-1500
NPI assigned
May 23, 2018
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X DR.0067903 CO Primary

Addresses

Primary practice location

5881 W 16TH St Ste B
Greeley, CO 80634-2910

Mailing address

5881 W 16TH St Ste B
Greeley, CO 80634-2910
Phone (709) 336-1500

Other names 1

  • Jasmine Marie Soo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902000313 CO Practitioner - Obstetrics/Gynecology 2961757299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

5881 W 16TH St
Suite B Womens PT Peds
Greeley, CO 80634-2910
Phone (970) 336-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0067903COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Sep 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2022 Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology PastSince May 18, 2025 Accepting new patients
Medical Center of the Rockies Past Accepting new patients
Uchealth Greeley Hospital Past Accepting new patients
Poudre Valley Medical Group, LLC Obstetrics & Gynecology PastSince May 25, 2025 Accepting new patients

Locations

5881 W 16th St
Greeley, CO 80634
Phone (970) 313-2700

5881 W 16th St
Ste B
Greeley, CO 80634
Phone (970) 336-1500

5881 W 16th St
Ste Bwomens
Greeley, CO 80634
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 151
Loveland, CO 80538
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 2100
Loveland, CO 80538
Phone (970) 203-7080

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1455 Main St
Ste 100
Windsor, CO 80550
Phone (970) 207-4857

355 Eastman Park Dr
Unit 200
Windsor, CO 80550
Phone (970) 336-1500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1164913372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "709-336-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5881 W 16TH ST STE B",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806342910",
            "telephone_number": "709-336-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "JASMINE",
        "middle_name": "MARIE SOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0067903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "SOO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.