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FRONT RANGE PREVENTIVE IMAGING
NPI 1104911361
Internal Medicine in Boulder, CO

Active since October 04, 2006
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304(303) 443-7226(303) 443-7168 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Front Range Preventive Imaging NPPES

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

FRONT RANGE PREVENTIVE IMAGING (NPI 1104911361) is a healthcare organization registered as an internal medicine in Boulder, Colorado and active in the NPI registry since October 2006. The organization lists William Lawson Blanchet, President, as its authorized official.

NPPES Registry Identity

NPI1104911361
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBOULDER INTERNAL MEDICINE PC
Location Address2880 FOLSOM ST, SUITE 100Boulder, CO 80304-3769
Mailing Address2880 Folsom St, Suite 100Boulder, CO 80304-3769 · (303) 443-7226 · Fax (303) 443-7168
Phone(303) 443-7226
Fax(303) 443-7168
Organization SubpartNo
Authorized OfficialWilliam Lawson BlanchetPresident · (303) 443-7226
Enumeration DateOctober 4, 2006
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1104911361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
2880 FOLSOM ST, Boulder, CO 80304
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Other Names 1

Doing Business AsFront Range Preventive Imaging

Other Identifiers 1

Medicaid04021960CO

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)

Front Range Preventive Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Front Range Preventive Imaging, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

William Blanchet, MD
Internal Medicine
NPI 1659466837
2880 FOLSOM ST SUITE 100
Boulder, CO 80304
(303) 327-7047
✔ PECOS✔ Accepts MedicareSame address
Jennifer Johnson, M.D.
Family Practice
NPI 1710006382
2880 FOLSOM ST STE 100
Boulder, CO 80304
(303) 327-7047
✔ PECOS✔ Accepts MedicareSame address
Kylie Mcbride, FNP-C
Nurse Practitioner
NPI 1447776737
2880 FOLSOM ST STE 100
Boulder, CO 80304
(303) 327-7047
✔ PECOS✔ Accepts MedicareSame address
Amy Campbell, MD
Internal Medicine
NPI 1033108642
2880 FOLSOM ST STE 100
Boulder, CO 80304
(303) 327-7047
✔ PECOS✔ Accepts MedicareSame address

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 Boulder Internal Medicine PC's NPI number?

The NPI number for Boulder Internal Medicine PC is 1104911361. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Front Range Preventive Imaging.

Where is Boulder Internal Medicine PC located?

Boulder Internal Medicine PC is located at 2880 Folsom St Suite 100, Boulder, CO 80304. The listed phone number is (303) 443-7226.

What is Boulder Internal Medicine PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Boulder Internal Medicine PC enrolled in Medicare?

Yes. Boulder Internal Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boulder Internal Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Boulder Internal Medicine PC, in Family Practice, Internal Medicine 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, 4 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 Boulder Internal Medicine PC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.