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SUNFLOWER MOUNTAIN MENTAL HEALTH LLC
NPI 1336957901
Nurse Practitioner - Psychiatric/Mental Health in Pueblo, CO

Active since December 27, 2024
805 EAGLERIDGE BLVD, STE 140, PUEBLO, CO 81008(719) 679-5022(719) 888-1673 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2025, Sep 4, 2025, Aug 4, 2025 and 1 more (4 updates tracked since 2024).

About Sunflower Mountain Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNFLOWER MOUNTAIN MENTAL HEALTH LLC (NPI 1336957901) is a healthcare organization registered as a psychiatric/mental health in Pueblo, Colorado and active in the NPI registry since December 2024. The organization lists Matthew Blubaugh, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336957901
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUNFLOWER MOUNTAIN MENTAL HEALTH LLC
Location Address805 EAGLERIDGE BLVD, STE 140Pueblo, CO 81008-2354
Mailing Address805 Eagleridge Blvd, Ste 140Pueblo, CO 81008-2354 · (719) 679-5022 · Fax (719) 888-1673
Phone(719) 679-5022
Fax(719) 888-1673
Organization SubpartNo
Authorized OfficialMatthew BlubaughOffice Manager · (719) 679-5022
Enumeration DateDecember 27, 2024
Last NPPES UpdateOctober 3, 20254 updates tracked since enumeration
NPPES CertifiedOctober 3, 2025
✔ NPI 1336957901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/CenterTaxonomy 261Q00000X
805 EAGLERIDGE BLVD, STE 140, Pueblo, CO 81008
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sunflower Mountain Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Sunflower Mountain Mental Health LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Adaeze Jaji
Nurse Practitioner
NPI 1851165054
805 EAGLERIDGE BLVD STE 140
Pueblo, CO 81008
(719) 679-5022
✔ PECOS✔ Accepts MedicareSame address
Alexandra Stewart, PMHNP-BC
Nurse Practitioner
NPI 1982345880
805 EAGLERIDGE BLVD STE 140
Pueblo, CO 81008
(719) 679-5022
✔ PECOS✔ Accepts MedicareSame address
Katherine Stewart, LCSW
Clinical Social Worker
NPI 1588751465
805 EAGLERIDGE BLVD STE 140
Pueblo, CO 81008
(719) 679-5022
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sunflower Mountain Mental Health LLC's NPI number?

The NPI number for Sunflower Mountain Mental Health LLC is 1336957901. It was assigned to this organization in the NPPES registry on December 27, 2024.

Where is Sunflower Mountain Mental Health LLC located?

Sunflower Mountain Mental Health LLC is located at 805 Eagleridge Blvd, Ste 140, Pueblo, CO 81008. The listed phone number is (719) 679-5022.

What is Sunflower Mountain Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sunflower Mountain Mental Health LLC enrolled in Medicare?

Yes. Sunflower Mountain Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunflower Mountain Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sunflower Mountain Mental Health LLC, in Clinical Social Worker and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sunflower Mountain Mental Health LLC was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.