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BANNER FORT COLLINS PCP LLC
NPI 1013707207
Clinic/Center - Multi-Specialty in Fort Collins, CO

Active since May 09, 2025CLIA 06D2327691 · Microscopy
3519 RICHMOND DR, FORT COLLINS, CO 80526(970) 449-0951 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, May 9, 2025 (2 updates tracked since 2025).

About Banner Fort Collins Pcp Llc NPPES

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

BANNER FORT COLLINS PCP LLC (NPI 1013707207) is a healthcare organization registered as a multi-specialty in Fort Collins, Colorado and active in the NPI registry since May 2025. The organization holds a CLIA Microscopy certificate valid through July 27, 2027 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013707207
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER FORT COLLINS PCP LLC
Location Address3519 RICHMOND DRFort Collins, CO 80526-5995
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 449-0951
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 9, 2025
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1013707207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3519 RICHMOND DR, Fort Collins, CO 80526
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2327691

Banner Fort Collins Pcp LLC · Fort Collins, CO
Active · expires Jul 27, 2027
CLIA Number06D2327691
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorCynthina Van Farowe
Laboratory Phone(970) 449-0951
Laboratory LocationBanner Fort Collins Pcp LLC3519 Richmond Dr, Fort Collins, CO 80526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

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

SCARLET SPARKUHL DELIA DO
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 449-0951
LYNN BELLMORE M.D.
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 449-0951
ANGELA MILLS M.D.
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300
MRS. KIMBERLY GARRETT WILKERSON RD, LD, CDE
Dietitian, Registered
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300
SHELLEY W. MOORE MD
Family Medicine (Adult Medicine)
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300
JOSHUA MITCHEM NP-C
Nurse Practitioner
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300
JAMES M KESLER M.D.
Family Medicine
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300
ERIC RICHARDS L. AC NCCAOM
Acupuncturist
3519 RICHMOND DR
FORT COLLINS, CO 80526
Larimer County (970) 204-0300

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 Banner Fort Collins Pcp LLC's NPI number?

The NPI number for Banner Fort Collins Pcp LLC is 1013707207. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Banner Fort Collins Pcp LLC located?

Banner Fort Collins Pcp LLC is located at 3519 Richmond Dr, Fort Collins, CO 80526. The listed phone number is (970) 449-0951.

What is Banner Fort Collins Pcp LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Fort Collins Pcp LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2327691) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Fort Collins Pcp LLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.