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

Priscilla Nobecourt

Individual provider Surgery Physician · NPI 1205220530

Priscilla Nobecourt is a General Surgery in Pueblo, Colorado. Qualified in 2013, 13 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
13
Licensed in
CO, TX
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1600 N Grand Ave Ste 430
Pueblo, CO 81003-2760
Phone: (719) 545-8240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 University Blvd, Galveston, TX 77555-0531 — (409) 772-0531

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0063670 (CO)
Surgery Physician Taxonomy 208600000X · Licence BP1-0053430 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205220530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2015
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address1600 N Grand Ave Ste 430, Pueblo, CO 81003-2760

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Pueblo