Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jerriann Vigil, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1578720819

MS. Jerriann Vigil, PHYSICIANASSISTANT is a Physician Assistant in Walsenburg, Colorado. Qualified in 1996, 30 years ago. Practices with Pueblo Community Health Center Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
30
Licensed in
CO
In the registry since
2008

Practice location Address checks out

100 W 4th St
Walsenburg, CO 81089-1910
Phone: (719) 738-4590
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0000939 (CO)

Record details

NPI number1578720819
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESDecember 18, 2018
Mailing addressPo Box 76510, Colorado Springs, CO 80970-6510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Pueblo Community Health Center Inc. — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walsenburg