Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Poudre Valley Medical Group, LLC

General Practice 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

1710593611

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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 1024 S Lemay Ave, Fort Collins, CO, 80524

Phone (970) 495-8440

Fax (970) 495-7644

Enumeration date Sep 17, 2020

Last updated in NPPES Dec 8, 2025

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

163WW0000X Wound Care Registered Nurse Nursing Service Providers Secondary

207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

261QE0002X Emergency Care Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Secondary

363LN0000X Neonatal Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jana Conroy

Title Director of Credentialing

Phone (970) 495-8440

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-12-08. Verify at npiregistry.cms.hhs.gov.

Where is Poudre Valley Medical Group, LLC located?

The practice location on file with NPPES is in Fort Collins, CO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-08.