POUDRE VALLEY MEDICAL GROUP, LLC
NPI 1912717653
Family Medicine in Fort Collins, CO

Active since January 13, 2025
151 W LAKE ST STE 1500, FORT COLLINS, CO 80524(970) 297-6700(970) 297-6701 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Poudre Valley Medical Group, Llc NPPES

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

POUDRE VALLEY MEDICAL GROUP, LLC (NPI 1912717653), doing business as Uchealth Medical Group, is a healthcare organization registered as a family medicine in Fort Collins, Colorado and active in the NPI registry since January 2025. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1912717653
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address151 W LAKE ST STE 1500Fort Collins, CO 80524-4124
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Fax(970) 297-6701
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (970) 297-6700
Enumeration DateJanuary 13, 2025
Last NPPES UpdateFebruary 12, 2025
NPPES CertifiedFebruary 12, 2025
NPI 1912717653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
151 W LAKE ST STE 1500, Fort Collins, CO 80524

Other Names 2

Doing Business AsUchealth Medical Group
Other NameUchealth Primary Care - Lake Street

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 9

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

Nurse Practitioner (Family)
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Family Medicine
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Physician Assistant
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Clinic/Center (Primary Care)
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Family Medicine
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Family Medicine
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524
Nurse Practitioner (Family)
151 W LAKE ST STE 1500
FORT COLLINS, CO 80524

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 Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1912717653. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as UCHealth Medical Group. The provider is also known as UCHealth Primary Care - Lake Street.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 151 W Lake St Ste 1500, Fort Collins, CO 80524. The listed phone number is (970) 297-6700.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on February 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.