Individual provider Active NPI

Jennifer Leigh Gallegos, CNM

  • Advanced Practice Midwife
  • Pueblo, CO
National Provider Identifier
1457716755
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0992224 Issued in CO
Practice address
1501 Court St
Pueblo, CO 81003-2720
Phone
(719) 543-6755
NPI assigned
Dec 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 0992224 CO Primary

Addresses

Primary practice location

1501 Court St
Pueblo, CO 81003-2720

Mailing address

1501 Court St
Pueblo, CO 81003-2720
Phone (719) 543-6755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229002031 CO Practitioner - Certified Nurse Midwife (CNM) 7214232255 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
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)

1501 Court St
Pueblo, CO 81003-2720
Phone (719) 543-6755

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0992224COMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Pueblo Community Health Center Inc CurrentSince Feb 15, 2016 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Feb 15, 2016 Accepting new patients
Parkview Medical Center, Inc. Past Accepting new patients

Locations

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

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

4010 Jerry Murphy Rd
Pueblo, CO 81001
Phone (719) 546-2229

1501 Court St
Pueblo, CO 81003
Phone (719) 543-6755

1600 N Grand Ave
Ste 400
Pueblo, CO 81003
Phone (719) 543-4000

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1457716755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-543-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 COURT ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032720",
            "telephone_number": "719-543-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "0992224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.