Organization Active NPI

Pueblo Ankle and Foot Care, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Pueblo West, CO
National Provider Identifier
1922605252
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PUEBLO ANKLE AND FOOT CARE, PLLC
Practice address
323 S Purcell Blvd
Pueblo West, CO 81007-5045
Phone
(719) 543-2476
Fax
(719) 543-2479
NPI assigned
Oct 9, 2020
Organization subpart
Yes
Parent organization
PUEBLO ANKLE AND FOOT CARE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Jessica Marie Helvey
Title
Billing & Credentialing Lead
Phone
(719) 544-7170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

323 S Purcell Blvd
Pueblo West, CO 81007-5045

Mailing address

1619 N Greenwood St Ste 300
Pueblo, CO 81003-2657
Phone (719) 543-2476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070713000536 CO Part B Supplier - Clinic/Group Practice 0749380103 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pueblo, CO; Pueblo West, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Pueblo Ankle and Foot Care

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1922605252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N GREENWOOD ST STE 300",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032657",
            "telephone_number": "719-543-2476",
            "fax_number": "719-543-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075045",
            "telephone_number": "719-543-2476",
            "fax_number": "719-543-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO ANKLE AND FOOT CARE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUEBLO ANKLE AND FOOT CARE, PLLC",
        "enumeration_date": "2020-10-09",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HELVEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING LEAD",
        "authorized_official_telephone_number": "719-544-7170"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.