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CROSSOVER HEALTH MEDICAL GROUP
NPI 1629936422
Specialist in Pueblo, CO

Active since January 12, 2026
650 DITTMER AVE, PUEBLO, CO 81005(866) 271-3589 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crossover Health Medical Group NPPES

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

CROSSOVER HEALTH MEDICAL GROUP (NPI 1629936422) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since January 2026. The organization lists Jenette Hunter, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1629936422
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCROSSOVER HEALTH MEDICAL GROUP
Location Address650 DITTMER AVEPueblo, CO 81005-1212
Mailing Address650 Dittmer AvePueblo, CO 81005-1212 · (866) 271-3589
Phone(866) 271-3589
Organization SubpartNo
Authorized OfficialJenette HunterCredentialing Manager · (971) 500-2661
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1629936422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
650 DITTMER AVE, Pueblo, CO 81005
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Other Identifiers 1

Other193200000XNonmedicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES W. GARLAND D.O. LLC
Anesthesiology
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (719) 565-2000
PHILIP C. MARIN, MD PROF LLC
Plastic Surgery
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (719) 565-1000
JAMES W MCCANLESS MD
Anesthesiology
650 DITTMER AVE
PUEBLO, CO 81005
Pueblo County (719) 565-2000

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 Crossover Health Medical Group's NPI number?

The NPI number for Crossover Health Medical Group is 1629936422. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Crossover Health Medical Group located?

Crossover Health Medical Group is located at 650 Dittmer Ave, Pueblo, CO 81005. The listed phone number is (866) 271-3589.

What is Crossover Health Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Crossover Health Medical Group was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.