NPIMap

Individual provider Active NPI

Leighann Marie Brock, AGACNP-BC

  • Nurse Practitioner
  • Loveland, CO
National Provider Identifier
1366119356
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0995776-NP Issued in CO
Practice address
221 E 29TH St Ste 202
Loveland, CO 80538-2746
Phone
(970) 203-7050
Fax
(970) 203-7055
NPI assigned
Aug 26, 2021
Last updated
Apr 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0995776-NP CO Primary
Gerontology Nurse Practitioner 363LG0600X APN.0995776-NP CO
Acute Care Nurse Practitioner 363LA2100X APN.0995776-NP CO

Addresses

Primary practice location

221 E 29TH St Ste 202
Loveland, CO 80538-2746

Mailing address

221 E 29TH St Ste 202
Loveland, CO 80538-2746
Phone (970) 203-7050

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
I20210908000091 CO Practitioner - Nurse Practitioner 9830595446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (303) 776-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995776-NPCOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Group CurrentSince Oct 14, 2024 Accepting new patients
Magnolia Medical Company CurrentSince Oct 14, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Feb 2, 2026 Accepting new patients
Magnolia Medical Company Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1850 Race St
Denver, CO 80206
Phone (303) 209-5115

2925 E Colfax Ave
Denver, CO 80206
Phone (303) 209-5115

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

221 E 29th St
Ste 202
Loveland, CO 80538
Phone (970) 203-7050

10160 W 50th Ave
Unit 4
Wheat Ridge, CO 80033
Phone (303) 456-4882

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIFJBD

Organizations & group practices 5

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1366119356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E 29TH ST STE 202",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382746",
            "telephone_number": "970-203-7050",
            "fax_number": "970-203-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 29TH ST STE 202",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382746",
            "telephone_number": "970-203-7050",
            "fax_number": "970-203-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LEIGHANN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0995776-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0995776-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0995776-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.