Organization Active NPI

Critical Perinatal Solutions P.C.

  • Maternal & Fetal Medicine Physician
  • Laramie, WY
National Provider Identifier
1306609003
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
CRITICAL PERINATAL SOLUTIONS P.C.
Practice address
810 Sally Port Rd
Laramie, WY 82070-8327
Phone
(307) 205-3084
NPI assigned
Feb 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dr. Jessica Rose Poulin, MDNPI 1972896694
Title
Ceo
Phone
(307) 205-3084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

810 Sally Port Rd
Laramie, WY 82070-8327

Mailing address

514 E Grand Ave # 320
Laramie, WY 82070-3839

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@criticalperinatalsolutions.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430003208 FL Part B Supplier - Clinic/Group Practice 6103342308 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL

National Provider Directory

National Provider Directory

Locations

3900 E Indiantown Rd
Jupiter, FL 33477
Phone (307) 205-3084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1306609003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E GRAND AVE # 320",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SALLY PORT RD",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820708327",
            "telephone_number": "307-205-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL PERINATAL SOLUTIONS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-205-3084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@criticalperinatalsolutions.com",
            "affiliation": "N",
            "address_1": "810 Sally Port Rd",
            "city": "Laramie",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820708327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.