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JEREMY JONATHON COUCH FNP-BC
NPI 1679309868
Nurse Practitioner - Family in Pueblo, CO

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
110 E ROUTT AVE, PUEBLO, CO 81004(719) 584-8711 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Sep 12, 2024 (2 updates tracked since 2024).

About Jeremy Jonathon Couch Fnp-bc NPPES

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

JEREMY JONATHON COUCH FNP-BC (NPI 1679309868) is an individual family provider in Pueblo, Colorado, licensed in Colorado (RN.1619017) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679309868
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY JONATHON COUCHCredential: FNP-BC
Location Address110 E ROUTT AVEPueblo, CO 81004-2117
Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 584-8711
Phone(719) 584-8711
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 12, 2024
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1679309868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · RN.1619017
110 E ROUTT AVE, Pueblo, CO 81004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremy Jonathon Couch Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345772232
PECOS Enrollment IDI20241016003979
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeremy Couch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pueblo Community Health Center Inc
Same address
Federally Qualified Health Center (FQHC)
300 COLORADO AVE
Pueblo, CO 81004
  • Reassigned Medicare billing, Colorado enrollment
  • 137 clinicians in this Medicare group
NPI 1770529950 (719) 543-8711
Southern Colorado Emergency Medical Associates
1.8 mi
Emergency Medicine
400 W 16TH ST
Pueblo, CO 81003
  • Reassigned Medicare billing, Colorado enrollment
  • 44 clinicians in this Medicare group
NPI 1811793904 (719) 584-4306
Poudre Valley Medical Group, LLC
150 mi
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group
NPI 1366763260 (970) 624-4420

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

RUTH BAILEY RN
Registered Nurse (Community Health)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
MS. LAURA MICHELLE GRUNEWALD N.P.
Nurse Practitioner (Family)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
TIFFANY HILBY CNM
Advanced Practice Midwife
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
KIMBERLY ANN PALLAZOLA FNP-BC
Nurse Practitioner
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
TSOMORLOG AUSTIN FNP-C
Nurse Practitioner (Family)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
CHARMAYNE N SANDOVAL LCSW
Social Worker (Clinical)
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
PUEBLO COMMUNITY HEALTH CENTER INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 543-8711
MARIO ANTHONY CRUZ PHARMD
Pharmacist
110 E ROUTT AVE
PUEBLO, CO 81004
Pueblo County (719) 476-0214

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 Jeremy Couch's NPI number?

The NPI number for Jeremy Couch is 1679309868. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is Jeremy Couch located?

Jeremy Couch practices at 110 E Routt Ave, Pueblo, CO 81004. The listed phone number is (719) 584-8711.

What is Jeremy Couch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeremy Couch enrolled in Medicare?

Yes. Jeremy Couch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeremy Couch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Couch reassigns Medicare benefits to 3 organizations: Pueblo Community Health Center Inc (Pueblo, CO), Southern Colorado Emergency Medical Associates (Pueblo, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). Each 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 Jeremy Couch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Couch accept?

Health plans from Select Health list Jeremy Couch 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 Jeremy Couch was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.