JIM TANNER
NPI 1023749629
Counselor in Pueblo, CO
About Jim Tanner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIM TANNER (NPI 1023749629) is an individual counselor in Pueblo, Colorado and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jim Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jim Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pueblo, CO 81004
- Reassigned Medicare billing, Colorado enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jim Tanner's NPI number?
The NPI number for Jim Tanner is 1023749629. It was assigned to this individual provider in the NPPES registry on June 23, 2022.
Where is Jim Tanner located?
Jim Tanner practices at 503 N Main St Ste 539, Pueblo, CO 81003. The listed phone number is (719) 766-9299.
What is Jim Tanner's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Jim Tanner enrolled in Medicare?
Yes. Jim Tanner is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jim Tanner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jim Tanner reassigns Medicare benefits to A New Leaf Therapy, PLLC (Pueblo, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jim Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jim Tanner accept?
Health plans from Select Health list Jim Tanner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jim Tanner was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jim Tanner · NPI 1023749629
Counselor provider in Pueblo, Colorado. Individual provider, active in the CMS NPPES registry since June 23, 2022.
## Identity
- **NPI:** 1023749629 (Entity type: Individual)
- **Enumerated:** June 23, 2022
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 503 N MAIN ST STE 539, Pueblo, CO 81003-3133
- **Phone:** (719) 766-9299
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** A New Leaf Therapy, PLLC (NPI 1194111500, Pueblo, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023749629) · Data from the CMS NPPES public registry.