SOUTHERN COLORADO NEPHROLOGY ASSOC PC
NPI 1083642144
Specialist in Pueblo, CO
About Southern Colorado Nephrology Assoc Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN COLORADO NEPHROLOGY ASSOC PC (NPI 1083642144) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Juliette Giebel, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Southern Colorado Nephrology Assoc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern Colorado Nephrology Assoc PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
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 for Provider-Performed Microscopy Procedures (PPMP) 06D0517991
Southern Colorado Nephrology Assoc PC · Pueblo, 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 Southern Colorado Nephrology Assoc PC's NPI number?
The NPI number for Southern Colorado Nephrology Assoc PC is 1083642144. It was assigned to this organization in the NPPES registry on June 29, 2006.
Where is Southern Colorado Nephrology Assoc PC located?
Southern Colorado Nephrology Assoc PC is located at 3426 Lake Ave 120, Pueblo, CO 81004. The listed phone number is (719) 561-5264.
What is Southern Colorado Nephrology Assoc PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Southern Colorado Nephrology Assoc PC enrolled in Medicare?
Yes. Southern Colorado Nephrology Assoc PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Colorado Nephrology Assoc PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Colorado Nephrology Assoc 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. The largest specialties are Nephrology (5) and Nurse Practitioner (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Colorado Nephrology Assoc PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0517991) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Southern Colorado Nephrology Assoc PC was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Southern Colorado Nephrology Assoc Pc · NPI 1083642144
Specialist organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1083642144 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Juliette Giebel, OFFICE MANAGER
## Practice location
- **Address:** 3426 LAKE AVE, 120, Pueblo, CO 81004-3877
- **Phone:** (719) 561-5264 · **Fax:** (719) 561-5272
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (5), Nurse Practitioner (2); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 2, 2007
- **Other identifiers:** Medicare PIN CA1108; Medicaid 04006250 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083642144) · Data from the CMS NPPES public registry.