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ACTIVE INTEGRATED MEDICINE LLC
NPI 1174016331
Integrative Medicine in Fort Morgan, CO

Active since June 12, 2018
220 E BEAVER AVE, FORT MORGAN, CO 80701(970) 441-1117 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 30, 2026, Mar 4, 2025, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

About Active Integrated Medicine Llc NPPES

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

ACTIVE INTEGRATED MEDICINE LLC (NPI 1174016331), doing business as Active Integrated Medicine, is a healthcare organization registered as an integrative medicine in Fort Morgan, Colorado and active in the NPI registry since June 2018. The organization lists Leif Allen Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1174016331
Entity TypeOrganization
Primary Taxonomy202D00000X
Legal Business NameACTIVE INTEGRATED MEDICINE LLC
Location Address220 E BEAVER AVEFort Morgan, CO 80701-3103
Mailing Address220 E Beaver AveFort Morgan, CO 80701-3103 · (970) 441-1117
Phone(970) 441-1117
Organization SubpartNo
Authorized OfficialLeif Allen StephensOwner · (970) 458-5216
Enumeration DateJune 12, 2018
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1174016331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code202D00000X
Definition
A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.
Also ListedGeneral PracticeTaxonomy 208D00000X
220 E BEAVER AVE, Fort Morgan, CO 80701
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Other Names 2

Doing Business AsActive Integrated Medicine
Doing Business AsProactive Medicine Llc

Other Identifiers 2

Medicaid1679771414CO
Other1679771414CO · Npi

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)

Active Integrated Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Integrated Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Benjamin Stephenson, MD
Family Practice
NPI 1679771414
220 E BEAVER AVE
Fort Morgan, CO 80701
(970) 458-5216
✔ PECOS✔ Accepts MedicareSame address
Leif Stephens, D.C.
Chiropractic
NPI 1770733297
329 E PLATTE AVE
Fort Morgan, CO 80701
(970) 458-5216
✔ Accepts Medicare0.4 mi

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 Active Integrated Medicine LLC's NPI number?

The NPI number for Active Integrated Medicine LLC is 1174016331. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is doing business as Active Integrated Medicine and Proactive Medicine LLC.

Where is Active Integrated Medicine LLC located?

Active Integrated Medicine LLC is located at 220 E Beaver Ave, Fort Morgan, CO 80701. The listed phone number is (970) 441-1117.

What is Active Integrated Medicine LLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Is Active Integrated Medicine LLC enrolled in Medicare?

Yes. Active Integrated Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Integrated Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Active Integrated Medicine LLC, in Chiropractic and Family Practice. 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, 1 practice at this address and 2 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 Active Integrated Medicine LLC was last updated on March 30, 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.