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Poudre Valley Medical Group, LLC

Internal Medicine Physician in Fort Collins, CO · enumerated 2020 · authorized official Jana Conroy, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619577459

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Other name <Unavail>
Parent organization Poudre Valley Medical Group, LLC
Practice address 4674 Snow Mesa Dr Ste 200, Fort Collins, CO, 80528
Phone (970) 266-3650
Fax (970) 266-3660
Enumeration date Oct 30, 2020
Last updated in NPPES Aug 5, 2024

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Jana Conroy
Title Director of Credentialing
Phone (970) 266-3650

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Poudre Valley Medical Group, LLC?
NPPES lists Jana Conroy (Director of Credentialing) as the authorized official for this organization.
What is the NPI number for Poudre Valley Medical Group, LLC?
The NPI for Poudre Valley Medical Group, LLC is 1619577459, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-05.