Active NPI
Stacey Lane Gruka, DNP, ARNP, CNM, MSN
- Advanced Practice Midwife
- Norwalk, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 633
- Practice address
- 255 Westport Ave
Norwalk, CT 06851-4310 - Phone
- (203) 349-2950
- NPI assigned
- Apr 29, 2008
- Last updated
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000200515 | Medicaid | CO | |
| 000102200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0003341-C-CNM | CO | MD | Nurse Practitioner |
| C-APN.0003341-C-CNM | CA | MD | Advanced Practice Midwife |
| APN.0997369-CNM | CO | MD | Advanced Practice Midwife |
| ARNP9246057 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stamford Health Medical Group Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Past | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Past | 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
- 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.
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
dba Goph GYN Onc PSF
- Gynecologic Oncology Physician
- Colorado Springs, CO
- NPI 1801443197
-
dba UCHealth Medical Group
- Obstetrics & Gynecology Physician
- Loveland, CO
- NPI 1962294355
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.