THE SPINE GROUP LLC
NPI 1033486006
Clinic/Center - Multi-Specialty in Westminster, CO

Active since November 18, 2011
12061 TEJON ST STE 600, WESTMINSTER, CO 80234(303) 457-0123(303) 252-4065 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 9, 2020, Feb 28, 2017 (2 updates tracked since 2017).

About The Spine Group Llc NPPES

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

THE SPINE GROUP LLC (NPI 1033486006) is a healthcare organization registered as a multi-specialty in Westminster, Colorado and active in the NPI registry since November 2011. The organization lists Warner M Hettick, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033486006
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameSPINE GROUP LLC
Location Address12061 TEJON ST STE 600Westminster, CO 80234-2325
Mailing Address12061 Tejon St Ste 600Westminster, CO 80234-2325 · (303) 457-0123 · Fax (303) 252-4065
Fax(303) 252-4065
Organization SubpartNo
Authorized OfficialWarner M HettickAuthorized Official · (303) 457-0123
Enumeration DateNovember 18, 2011
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1033486006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedChiropractorTaxonomy 111N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
12061 TEJON ST STE 600, Westminster, CO 80234

Other Names 1

Doing Business AsThe Spine Group Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Spine Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20120619000479Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to The Spine Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1134445984
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124586573
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760928998
730 W HAMPDEN AVE STE 205
Englewood, CO 80110
(720) 716-5256
✔ PECOS18 mi
Family Practice
NPI 1992739890
110 N BAILEY
North Platte, NE 69103
(308) 534-6029
✔ PECOS✔ Accepts Medicare239 mi

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 Spine Group LLC's NPI number?

The NPI number for Spine Group LLC is 1033486006. It was assigned to this organization in the NPPES registry on November 18, 2011. The provider is doing business as The Spine Group LLC.

Where is Spine Group LLC located?

Spine Group LLC is located at 12061 Tejon St Ste 600, Westminster, CO 80234. The listed phone number is (303) 457-0123.

What is Spine Group LLC's specialty?

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

Is Spine Group LLC enrolled in Medicare?

Yes. Spine Group LLC is registered in the Medicare PECOS enrollment system.

When is Spine Group LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spine Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Spine Group LLC, in Chiropractic, Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine Group LLC was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.