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IMMERSIV HEALTH OF COLORADO, PLLC
NPI 1043043466
Internal Medicine - Infectious Disease in Greeley, CO

Active since August 21, 2024
1715 61ST AVE STE 103, GREELEY, CO 80634(877) 551-6650(855) 694-4656 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2025, Jun 11, 2025, Aug 21, 2024 (3 updates tracked since 2024).

About Immersiv Health Of Colorado, Pllc NPPES

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

IMMERSIV HEALTH OF COLORADO, PLLC (NPI 1043043466), doing business as Immersiv Health, is a healthcare organization registered as an infectious disease in Greeley, Colorado and active in the NPI registry since August 2024. The organization lists Son Han, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043043466
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameIMMERSIV HEALTH OF COLORADO, PLLC
Location Address1715 61ST AVE STE 103Greeley, CO 80634-7989
Mailing Address382 Ne 191st St Ste 93920Miami, FL 33179-3899 · (877) 551-6650 · Fax (855) 694-4656
Phone(877) 551-6650
Fax(855) 694-4656
Organization SubpartNo
Authorized OfficialSon HanCeo · (512) 869-9323
Enumeration DateAugust 21, 2024
Last NPPES UpdateJune 25, 20253 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1043043466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1715 61ST AVE STE 103, Greeley, CO 80634
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Other Names 1

Doing Business AsImmersiv Health

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Immersiv Health Of Colorado, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Immersiv Health Of Colorado, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Emily Keen
Nurse Practitioner
NPI 1104336189
1103 OAK PARK DR
Fort Collins, CO 80525
(970) 226-5797
✔ PECOS16 mi
Jason Litzinger, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1497254460
110 BOARDWALK DR
Fort Collins, CO 80525
(970) 821-1500
✔ PECOS✔ Accepts Medicare18 mi
Kiana Brown, NP
Nurse Practitioner
NPI 1386329068
14000 E ARAPAHOE RD STE 380
Centennial, CO 80112
(303) 226-6180
✔ PECOS56 mi
Leslie Mudge, FNP
Nurse Practitioner
NPI 1407337504
10TH MEDICAL GROUP 4102 PINON DRIVE
Usaf Academy, CO 80840
(719) 333-5186
✔ PECOS98 mi
Jodie Gallegos, FNP
Nurse Practitioner
NPI 1235626466
320 E FONTANERO ST STE 103
Colorado Springs, CO 80907
(719) 300-4068
✔ PECOS✔ Accepts Medicare107 mi
Rebecca Jones, M.D.
Neurology
NPI 1104260819
3805 E BELL RD STE 2400
Phoenix, AZ 85032
(602) 482-2116
✔ PECOS✔ Accepts Medicare614 mi
Saba Haq, MD
Emergency Medicine
NPI 1669460085
3557 ASHBOURNE CIR
San Ramon, CA 94583
(949) 463-0650
✔ PECOS✔ Accepts Medicare942 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 Immersiv Health Of Colorado, PLLC's NPI number?

The NPI number for Immersiv Health Of Colorado, PLLC is 1043043466. It was assigned to this organization in the NPPES registry on August 21, 2024. The provider is doing business as Immersiv Health.

Where is Immersiv Health Of Colorado, PLLC located?

Immersiv Health Of Colorado, PLLC is located at 1715 61st Ave Ste 103, Greeley, CO 80634. The listed phone number is (877) 551-6650.

What is Immersiv Health Of Colorado, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Immersiv Health Of Colorado, PLLC enrolled in Medicare?

Yes. Immersiv Health Of Colorado, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Immersiv Health Of Colorado, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Immersiv Health Of Colorado, PLLC. 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. The largest specialties are Nurse Practitioner (5), Emergency Medicine (1) and Neurology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Immersiv Health Of Colorado, PLLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.