VIDA PLENA WELLNESS
NPI 1063200053
Nurse Practitioner in Thornton, CO
About Vida Plena Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIDA PLENA WELLNESS (NPI 1063200053) is a healthcare organization registered as a nurse practitioner in Thornton, Colorado and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Alma Silva Gutierrez, Np/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
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)
Vida Plena Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vida Plena Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 of Waiver 06D2323821
Vida Plena Wellness, LLC · Thornton, COFrequently 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 Vida Plena Wellness's NPI number?
The NPI number for Vida Plena Wellness is 1063200053. It was assigned to this organization in the NPPES registry on April 29, 2025.
Where is Vida Plena Wellness located?
Vida Plena Wellness is located at 81 W 84th Ave Ste 180, Thornton, CO 80260. The listed phone number is (720) 272-1323.
What is Vida Plena Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Vida Plena Wellness enrolled in Medicare?
Yes. Vida Plena Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vida Plena Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vida Plena Wellness. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Vida Plena Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2323821) is associated with this NPI, valid through May 13, 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 Vida Plena Wellness was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Vida Plena Wellness · NPI 1063200053
Nurse Practitioner organization in Thornton, Colorado. Organization record, active in the CMS NPPES registry since April 29, 2025.
## Identity
- **NPI:** 1063200053 (Entity type: Organization)
- **Enumerated:** April 29, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Alma Silva Gutierrez, NP/OWNER
## Practice location
- **Address:** 81 W 84TH AVE STE 180, Thornton, CO 80260-4830
- **Phone:** (720) 272-1323
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063200053) · Data from the CMS NPPES public registry.