GRAND JUNCTION RENAL REHAB CLINIC
NPI 1194446492
Internal Medicine - Nephrology in Grand Junction, CO

Q: What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 06, 2022

2643 PATTERSON RD STE 405, GRAND JUNCTION, CO 81506(970) 298-5920(970) 372-1710 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2024, Sep 14, 2022, Sep 6, 2022 (3 updates tracked since 2022).

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About Grand Junction Renal Rehab Clinic NPPES

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

GRAND JUNCTION RENAL REHAB CLINIC (NPI 1194446492) is a healthcare organization registered as a nephrology in Grand Junction, Colorado and active in the NPI registry since September 2022. The organization lists Jon Mcdaniel, Vp Fiance, as its authorized official.

NPPES Registry Identity

NPI1194446492

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

Location Address2643 PATTERSON RD STE 405Grand Junction, CO 81506-1937

Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564 · (303) 272-0566 · Fax (303) 272-0390

Phone(970) 298-5920

Fax(970) 372-1710

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Fiance · (303) 272-0231

Enumeration DateSeptember 6, 2022

Last NPPES UpdateJune 28, 20243 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1194446492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

2643 PATTERSON RD STE 405, Grand Junction, CO 81506

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Other Names 1

Doing Business AsGrand Junction Renal Rehab Clinic

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)

Grand Junction Renal Rehab Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

438

Medicare enrollment records show 438 clinicians reassign Medicare billing to Grand Junction Renal Rehab Clinic, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner71

Internal Medicine44

Family Practice39

Obstetrics/Gynecology37

Cardiovascular Disease (Cardiology)26

Neurology26

Vascular Surgery17

Physical Therapist in Private Practice16

37 other specialties162

Nearest to this location (20)

See all 438

Ryan Jackman, M.D.

Family Practice

NPI 1114363942

2643 PATTERSON RD STE 603
Grand Junction, CO 81506

(970) 298-3801

✔ PECOS✔ Accepts MedicareSame address

Meghan Kimmel, FNP, ACAGNP

Nurse Practitioner

NPI 1447803283

2643 PATTERSON RD
Grand Junction, CO 81506

(970) 298-6600

✔ PECOS✔ Accepts MedicareSame address

Andrea Lamb, N.P.

Nurse Practitioner

NPI 1649557950

2643 PATTERSON RD SUITE 605
Grand Junction, CO 81506

(970) 298-2482

✔ PECOS✔ Accepts MedicareSame address

Danielle Smith, M.D.

Thoracic Surgery

NPI 1679863542

2643 PATTERSON RD STE 403
Grand Junction, CO 81506

(970) 298-7675

✔ PECOS✔ Accepts MedicareSame address

Justin Walpole, M.D.

Vascular Surgery

NPI 1063825693

2643 PATTERSON RD STE 401
Grand Junction, CO 81506

(970) 298-3884

✔ PECOS✔ Accepts MedicareSame address

John Moore, MD

Cardiac Electrophysiology

NPI 1548462385

2643 PATTERSON RD STE 605
Grand Junction, CO 81506

(970) 244-2482

✔ PECOS✔ Accepts MedicareSame address

Leonard Lapkin, MD

Thoracic Surgery

NPI 1437131455

2643 PATTERSON ROAD SUITE 403
Grand Junction, CO 81506

(970) 298-7675

✔ PECOS✔ Accepts MedicareSame address

Alexandra Berguer, MD

Internal Medicine

NPI 1811343270

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

John Bratteli, MD

Family Practice

NPI 1245213925

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-6307

✔ PECOS✔ Accepts MedicareSame address

Matthew Cyphers, MD

Nephrology

NPI 1437110954

2635 N 7TH ST 4 CENTER
Grand Junction, CO 81501

(970) 298-7106

✔ PECOS✔ Accepts MedicareSame address

Katherine Dugan, MD

Internal Medicine

NPI 1588284905

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-7750

✔ PECOS✔ Accepts MedicareSame address

Kathryn Jones, MD

Nephrology

NPI 1154775179

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-7795

✔ PECOS✔ Accepts MedicareSame address

Wallace Jones

Hematology/Oncology

NPI 1255835724

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Mark Mcginley, MD

Pulmonary Disease

NPI 1457324733

2635 N 7TH ST
Grand Junction, CO 81501

(307) 577-2289

✔ PECOSSame address

Trent Milligan, D.O

Physical Medicine and Rehabilitation

NPI 1982099545

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Bonnie Souser, CNS

Certified Clinical Nurse Specialist (CNS)

NPI 1932733664

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOSSame address

Kathryn Spangler, MD

Hospitalist

NPI 1528413853

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-2273

✔ PECOS✔ Accepts MedicareSame address

Krista Stephens, MD

Emergency Medicine

NPI 1538798830

2635 N 7TH ST
Grand Junction, CO 81501

(505) 272-5062

✔ PECOS✔ Accepts MedicareSame address

Andrea Thornton, MD

Pulmonary Disease

NPI 1629178512

2635 N 7TH ST
Grand Junction, CO 81501

(970) 298-5864

✔ PECOS✔ Accepts MedicareSame address

Kevin Keller, MD

Anesthesiology

NPI 1083645824

2635 N 7TH ST
Grand Junction, CO 81501

(970) 244-2506

✔ PECOS✔ Accepts MedicareSame address

See all 438 clinicians

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 Intermountain Medical Group Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1194446492. It was assigned to this organization in the NPPES registry on September 6, 2022. The provider is doing business as Grand Junction Renal Rehab Clinic.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 2643 Patterson Rd Ste 405, Grand Junction, CO 81506. The listed phone number is (970) 298-5920.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Intermountain Medical Group Grand Junction, LLC enrolled in Medicare?

Yes. Intermountain Medical Group Grand Junction, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Intermountain Medical Group Grand Junction, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 45 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Grand Junction, LLC. 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 Nurse Practitioner (71), Internal Medicine (44) and Family Practice (39). Of these, 44 practice at this address and 175 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 Intermountain Medical Group Grand Junction, LLC was last updated on June 28, 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.