Fountain Valley Health Care LLC
NPI 1275272924 · Primary Care Clinic/Center · Colorado Springs, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fountain Valley Health Care LLC is a Primary Care Clinic/Center organization in Colorado Springs, CO (NPI 1275272924).
Provider details
- NPI number
- 1275272924
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacquita Jordan, Owner(719) 271-2887
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Acute Care Nurse Practitioner363LA2100X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3808 N Nevada AveColorado Springs, CO 80907-5339Phone: (719) 726-0002
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-10-18
- Certified
- 2022-10-18
Frequently asked questions
- What is Fountain Valley Health Care LLC's NPI number?
- Fountain Valley Health Care LLC's National Provider Identifier (NPI) is 1275272924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fountain Valley Health Care LLC?
- Fountain Valley Health Care LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fountain Valley Health Care LLC located?
- Fountain Valley Health Care LLC's practice location on file with NPPES is 1259 Lake Plaza Dr Ste 270, Colorado Springs, CO 80906-3560.
- What is Fountain Valley Health Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Fountain Valley Health Care LLC is (719) 271-2887.
- Does Fountain Valley Health Care LLC accept Medicare?
- Fountain Valley Health Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fountain Valley Health Care LLC?
- The authorized official listed on Fountain Valley Health Care LLC's NPPES record is Jacquita Jordan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fountain Valley Health Care LLC's NPI active?
- Yes — Fountain Valley Health Care LLC's NPI (1275272924) is active in the NPPES registry as of the last update on 2022-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.