BOULDER MEDICAL CENTER, P.C.
NPI 1144853904
Clinic/Center - Multi-Specialty in Longmont, 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 1144853904) is a healthcare organization registered as a multi-specialty in Longmont, Colorado and active in the NPI registry since February 2020. The organization holds a CLIA Microscopy certificate valid through December 14, 2027 and 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, 2 practice at this address and 4 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.
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) 06D2141535
Boulder Medical Center · Longmont, 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 Boulder Medical Center, P.C.'s NPI number?
The NPI number for Boulder Medical Center, P.C. is 1144853904. It was assigned to this organization in the NPPES registry on February 19, 2020.
Where is Boulder Medical Center, P.C. located?
Boulder Medical Center, P.C. is located at 1551 Professional Ln Unit 240, Longmont, CO 80501. The listed phone number is (303) 938-4710.
What is Boulder Medical Center, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
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, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Boulder Medical Center, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2141535) is associated with this NPI, valid through December 14, 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 Medical Center, P.C. was last updated on February 8, 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.
# Boulder Medical Center, P.c. · NPI 1144853904
Multi-Specialty organization in Longmont, Colorado. Organization record, active in the CMS NPPES registry since February 19, 2020.
## Identity
- **NPI:** 1144853904 (Entity type: Organization)
- **Enumerated:** February 19, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Casandra Richards, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 1551 PROFESSIONAL LN UNIT 240, Longmont, CO 80501-6967
- **Phone:** (303) 938-4710
## 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); 2 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1144853904/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144853904) · Data from the CMS NPPES public registry.