FRONTIER INTERNAL MEDICINE
NPI 1083260715
Clinic/Center - Primary Care in Longmont, CO

Active since August 19, 2019CLIA 06D0515719 · Waiver
2101 KEN PRATT BLVD STE 104A, LONGMONT, CO 80501(303) 415-4155(303) 776-3109 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2023, Jan 14, 2020, Aug 19, 2019 (3 updates tracked since 2019).

About Frontier Internal Medicine NPPES

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

FRONTIER INTERNAL MEDICINE (NPI 1083260715), doing business as Community Medical Assoc Of Bch, is a healthcare organization registered as a primary care in Longmont, Colorado and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists William A Munson, Vp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1083260715
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBOULDER COMMUNITY HEALTH
Location Address2101 KEN PRATT BLVD STE 104ALongmont, CO 80501-6568
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-4155 · Fax (303) 776-3109
Fax(303) 776-3109
Organization SubpartYes
Authorized OfficialWilliam A MunsonVp, Cfo · (303) 415-7433
Enumeration DateAugust 19, 2019
Last NPPES UpdateMay 19, 20233 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
✔ NPI 1083260715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2101 KEN PRATT BLVD STE 104A, Longmont, CO 80501

Other Names 2

Other NameFrontier Internal Medicine
Doing Business AsCommunity Medical Assoc Of Bch

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)

Frontier Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20040123000284Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

282

Medicare enrollment records show 282 clinicians reassign Medicare billing to Frontier Internal Medicine, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Nurse Practitioner51
Family Practice38
Physical Therapist in Private Practice35
Internal Medicine31
Clinical Social Worker15
Emergency Medicine12
Psychiatry10
General Surgery7
19 other specialties83

Nearest to this location (20)

See all 282
Internal Medicine
NPI 1295152528
2101 KEN PRATT BLVD STE 104A
Longmont, CO 80501
(303) 415-4155
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1447233887
2101 KEN PRATT BLVD STE 104A
Longmont, CO 80501
(303) 415-4155
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790179448
2101 KEN PRATT BLVD STE 104A
Longmont, CO 80501
(303) 415-4155
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1093896342
2101 KEN PRATT BLVD SUITE 104
Longmont, CO 80501
(303) 776-1532
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1427373810
2101 KEN PRATT BLVD STE 104G
Longmont, CO 80501
(303) 415-4246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912783895
2101 KEN PRATT BLVD STE 104G
Longmont, CO 80501
(303) 415-4246
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780765024
2101 KEN PRATT BLVD STE 104
Longmont, CO 80501
(303) 415-4157
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1427060383
2101 KEN PRATT BLVD STE 104
Longmont, CO 80501
(303) 442-2395
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1275659419
1610 DRY CREEK DR
Longmont, CO 80503
(720) 494-4750
✔ Accepts Medicare0.5 mi
Clinical Social Worker
NPI 1649880568
529 COFFMAN ST
Longmont, CO 80501
(303) 443-8500
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1083882104
834 S SHERMAN ST
Longmont, CO 80501
(303) 443-8500
✔ PECOS✔ Accepts Medicare2.2 mi
Emergency Medicine
NPI 1912979832
1925 MOUNTAIN VIEW AVE
Longmont, CO 80501
(303) 776-1234
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1083123475
1925 MOUNTAIN VIEW AVE
Longmont, CO 80501
(720) 494-3121
✔ PECOS✔ Accepts Medicare2.6 mi
Interventional Cardiology
NPI 1982863700
1925 MOUNTAIN VIEW AVE
Longmont, CO 80501
(720) 494-3117
✔ PECOS✔ Accepts Medicare2.6 mi
Hospitalist
NPI 1235310145
2030 MOUNTAIN VIEW AVE SUITE 540
Longmont, CO 80501
(303) 951-4059
✔ PECOS✔ Accepts Medicare2.7 mi
Rheumatology
NPI 1629120761
1715 IRON HORSE DR STE 100
Longmont, CO 80501
(720) 494-4700
✔ PECOS✔ Accepts Medicare3.7 mi
Rheumatology
NPI 1710929641
1715 IRON HORSE DR STE 100
Longmont, CO 80501
(720) 494-4700
✔ PECOS✔ Accepts Medicare3.7 mi
Family Practice
NPI 1184622888
6800 79TH ST SUITE 102
Niwot, CO 80503
(720) 494-7100
✔ PECOS✔ Accepts Medicare3.8 mi
Registered Dietitian or Nutrition Professional
NPI 1326734443
954 WOLF CREEK DR
Longmont, CO 80504
(720) 378-8316
✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1942902168
2051 ZLATEN DR APT A203
Longmont, CO 80504
(774) 719-3033
✔ PECOS✔ Accepts Medicare4.1 mi
See all 282 clinicians

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 06D0515719

Frontier Internal Medicine · Longmont, CO
Active · expires Apr 10, 2027
CLIA Number06D0515719
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDr. Jason Smouse
Laboratory Phone(303) 415-4156
Laboratory LocationFrontier Internal Medicine2101 Ken Pratt Blvd, Ste 104, Longmont, CO 80501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Boulder Community Health's NPI number?

The NPI number for Boulder Community Health is 1083260715. It was assigned to this organization in the NPPES registry on August 19, 2019. The provider is doing business as Community Medical Assoc of BCH. The provider is also known as Frontier Internal Medicine.

Where is Boulder Community Health located?

Boulder Community Health is located at 2101 Ken Pratt Blvd Ste 104A, Longmont, CO 80501. The listed phone number is (303) 415-4155.

What is Boulder Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Boulder Community Health enrolled in Medicare?

Yes. Boulder Community Health is registered in the Medicare PECOS enrollment system.

When is Boulder Community Health'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 March 31, 2027. 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 Boulder Community Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 27 Medicare specialties reassign their Medicare billing to Boulder Community Health. 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 (51), Family Practice (38) and Physical Therapist in Private Practice (35). Of these, 8 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Boulder Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0515719) is associated with this NPI, valid through April 10, 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 Boulder Community Health was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.