CULTIVATE MENTAL HEALTH PC
NPI 1023691490
Nurse Practitioner - Psychiatric/Mental Health in Broomfield, CO
About Cultivate Mental Health Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CULTIVATE MENTAL HEALTH PC (NPI 1023691490) is a healthcare organization registered as a psychiatric/mental health in Broomfield, Colorado and active in the NPI registry since May 2021. The organization lists Tanya S Tanner, Np, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cultivate Mental Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cultivate Mental Health PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Cultivate Mental Health PC's NPI number?
The NPI number for Cultivate Mental Health PC is 1023691490. It was assigned to this organization in the NPPES registry on May 3, 2021.
Where is Cultivate Mental Health PC located?
Cultivate Mental Health PC is located at 80 Garden Ctr Ste 138, Broomfield, CO 80020. The listed phone number is (720) 415-0101.
What is Cultivate Mental Health PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cultivate Mental Health PC enrolled in Medicare?
Yes. Cultivate Mental Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cultivate Mental Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Nurse Midwife (CNM)) reassigns their Medicare billing to Cultivate Mental Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cultivate Mental Health PC was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cultivate Mental Health Pc · NPI 1023691490
Psychiatric/Mental Health organization in Broomfield, Colorado. Organization record, active in the CMS NPPES registry since May 3, 2021.
## Identity
- **NPI:** 1023691490 (Entity type: Organization)
- **Enumerated:** May 3, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Tanya Tanner, NP
## Practice location
- **Address:** 80 GARDEN CTR STE 138, Broomfield, CO 80020-1790
- **Phone:** (720) 415-0101 · **Fax:** (833) 967-2490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Nurse Midwife (CNM)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 15, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023691490) · Data from the CMS NPPES public registry.