Ideal Family Medicine, Ltd
NPI 1255865713ActiveOrganization· Nurse Practitioner, Family· Pueblo, CO
Nurse Practitioner, Family in Pueblo, Colorado, registered in NPPES in April 2017. The authorized official on file is Jade Bryant, FNP-BC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255865713 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2017 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0992962 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
Other Nurse Practitioner, Family providers in Pueblo
- 1013490259
- 1497397657
- 1467225730
- 1538055314
- 1558811950
- 1730657636
- 1730929845
- 1720385016
- 1679278485
- 1427482884
- 1407547193
- 1255945960