VISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC
NPI 1205526308
Nurse Practitioner - Psychiatric/Mental Health in Longmont, CO

Active since May 11, 2023
350 TERRY ST STE 200, LONGMONT, CO 80501(720) 324-7158(833) 547-1923 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Apr 21, 2026, Apr 1, 2024 and 1 more (4 updates tracked since 2023).

About Vistas Pediatric And Family Mental Wellness Pllc NPPES

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

VISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC (NPI 1205526308) is a healthcare organization registered as a psychiatric/mental health in Longmont, Colorado and active in the NPI registry since May 2023. The organization maintains a secondary practice location in Erie and lists Jennifer June Crowe, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1205526308
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVISTAS PEDIATRIC AND FAMILY MENTAL WELLNESS PLLC
Location Address350 TERRY ST STE 200Longmont, CO 80501-5464
Mailing Address350 Terry St Ste 200Longmont, CO 80501-5464 · (720) 324-7158 · Fax (833) 547-1923
Fax(833) 547-1923
Organization SubpartNo
Authorized OfficialJennifer June CroweOwner/provider · (720) 324-7158
Enumeration DateMay 11, 2023
Last NPPES UpdateAugust 10, 20264 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1205526308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
350 TERRY ST STE 200, Longmont, CO 80501

Secondary Practice Location 1

Location 1698 Briggs St., suite 4Erie, CO 80516 · Phone (720) 324-7158 · Fax (833) 547-1923

Other Identifiers 1

Medicaid9000222832CO

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)

Vistas Pediatric And Family Mental Wellness Pllc 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 Vistas Pediatric And Family Mental Wellness PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1023445897
350 TERRY ST STE 200
Longmont, CO 80501
(720) 324-7158
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801382569
350 TERRY ST STE 200
Longmont, CO 80501
(720) 324-7158
✔ 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 Vistas Pediatric And Family Mental Wellness PLLC's NPI number?

The NPI number for Vistas Pediatric And Family Mental Wellness PLLC is 1205526308. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Vistas Pediatric And Family Mental Wellness PLLC located?

Vistas Pediatric And Family Mental Wellness PLLC is located at 350 Terry St Ste 200, Longmont, CO 80501. The listed phone number is (720) 324-7158.

What is Vistas Pediatric And Family Mental Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Vistas Pediatric And Family Mental Wellness PLLC enrolled in Medicare?

Yes. Vistas Pediatric And Family Mental Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vistas Pediatric And Family Mental Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vistas Pediatric And Family Mental Wellness PLLC. 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, 2 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 Vistas Pediatric And Family Mental Wellness PLLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.