BOULDER MEDICAL CENTER, P.C.
NPI 1114886587
Clinic/Center - Urgent Care in Boulder, CO
About Boulder Medical Center, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOULDER MEDICAL CENTER, P.C. (NPI 1114886587) is a healthcare organization registered as an urgent care in Boulder, Colorado and active in the NPI registry since January 2026. The organization lists Casandra Richards, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Boulder Medical Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 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.
Clinicians Billing Medicare Through This Organization
85Medicare enrollment records show 85 clinicians reassign Medicare billing to Boulder Medical Center, P.C., which bills Medicare for the services they deliver. Of these, 38 practice at this address and 70 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 19
Nearest to this location (20)
See all 85Source: 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 Medical Center, P.C.'s NPI number?
The NPI number for Boulder Medical Center, P.C. is 1114886587. It was assigned to this organization in the NPPES registry on January 20, 2026.
Where is Boulder Medical Center, P.C. located?
Boulder Medical Center, P.C. is located at 2750 Broadway St, Boulder, CO 80304. The listed phone number is (303) 440-3200.
What is Boulder Medical Center, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Boulder Medical Center, P.C. enrolled in Medicare?
Yes. Boulder Medical Center, P.C. is registered in the Medicare PECOS enrollment system.
When is Boulder Medical Center, P.C.'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 February 28, 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 Medical Center, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 19 Medicare specialties reassign their Medicare billing to Boulder Medical Center, P.C.. 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 Family Practice (17), Internal Medicine (12) and Pediatric Medicine (10). Of these, 38 practice at this address and 70 within 10 miles. 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 Medical Center, P.C. was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Boulder Medical Center, P.c. · NPI 1114886587
Urgent Care organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since January 20, 2026.
## Identity
- **NPI:** 1114886587 (Entity type: Organization)
- **Enumerated:** January 20, 2026
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Casandra Richards, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 2750 BROADWAY ST, Boulder, CO 80304-3586
- **Phone:** (303) 440-3200 · **Fax:** (303) 440-3232
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 85 clinicians in 19 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (17), Internal Medicine (12), Pediatric Medicine (10); 38 practice at this address and 70 within 10 miles; [full list](https://npiprofile.com/npi/1114886587/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1114886587) · Data from the CMS NPPES public registry.