Individual provider Active NPI

Stacey Lane Gruka, DNP, ARNP, CNM, MSN

  • Advanced Practice Midwife
  • Norwalk, CT
National Provider Identifier
1982879011
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
633 Issued in CT
Practice address
255 Westport Ave
Norwalk, CT 06851-4310
Phone
(203) 349-2950
NPI assigned
Apr 29, 2008
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0003341-C-CNM CO
Nurse Practitioner 363L00000X APRN9246057 FL
Advanced Practice Midwife 367A00000X 633 CT Primary
Advanced Practice Midwife 367A00000X ARNP9246057 FL
Advanced Practice Midwife 367A00000X APN.0997369-CNM CO
Advanced Practice Midwife 367A00000X C-APN.0003341-C-CNM CA

Addresses

Primary practice location

255 Westport Ave
Norwalk, CT 06851-4310

Mailing address

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (720) 494-3130

Other practice location 1

5002 W Lemon St
Tampa, FL 33609-1104
Phone (813) 286-0033

Other practice location 2

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone (720) 494-3130

Other practice location 3

6031 E Woodmen Rd Ste 250Go
Colorado Springs, CO 80923-2623
Phone (719) 571-8660

Other identifiers 2

IdentifierTypeStateIssuer
9000200515MedicaidCO
000102200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220125000142 CO Practitioner - Certified Nurse Midwife (CNM) 8426216524 Reassigns benefits to 1 organization
I20260422001565 CT Practitioner - Certified Nurse Midwife (CNM) 8426216524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2009
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)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
C-APN.0003341-C-CNMCOMDNurse Practitioner
C-APN.0003341-C-CNMCAMDAdvanced Practice Midwife
APN.0997369-CNMCOMDAdvanced Practice Midwife
ARNP9246057FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Mar 12, 2026 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 31, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 31, 2022 Accepting new patients
Catholic Health Initiatives Colorado PastSince Aug 28, 2021 Accepting new patients
Poudre Valley Medical Group, LLC PastSince May 25, 2025 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

11083 Colorado Blvd
Firestone, CO 80504
Phone (303) 833-8880

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

5881 W 16th St
Ste A
Greeley, CO 80634
Phone (970) 652-2447

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

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

1750 E Ken Pratt Blvd
Longmont, CO 80504
Phone (720) 718-7000

1760 E Ken Pratt Blvd
Ste 201
Longmont, CO 80504
Phone (720) 718-5200

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

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

4650 Signal Tree Dr
Ste 1200
Timnath, CO 80547
Phone (970) 237-7415

255 Westport Ave
Norwalk, CT 06851
Phone (203) 349-2950

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1982879011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013128",
            "telephone_number": "720-494-3130",
            "fax_number": "720-494-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514310",
            "telephone_number": "203-349-2950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 W Lemon St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091104",
            "country_code": "US",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 Mountain View Ave",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013128",
            "country_code": "US",
            "telephone_number": "720-494-3130",
            "fax_number": "720-494-3176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 E Woodmen Rd Ste 250Go",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232623",
            "country_code": "US",
            "telephone_number": "719-571-8660",
            "fax_number": "719-571-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUKA",
        "first_name": "STACEY",
        "middle_name": "LANE",
        "credential": "DNP, ARNP, CNM,  MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0003341-C-CNM",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9246057",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "633",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP9246057",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CO",
            "license": "APN.0997369-CNM",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "C-APN.0003341-C-CNM",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000200515",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000102200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.