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

Q: 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.

Q: What is Jeremy Couch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeremy Couch was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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

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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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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Other Providers at the Same Location NPPES 17

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

RUTH BAILEY RN

Registered Nurse (Community Health)