AMAZE PROFESSIONAL MEDICAL SERVICES PC
NPI 1225674625
Family Medicine in Longmont, CO

Active since November 20, 2019
8444 SUMMERLIN DR, LONGMONT, CO 80503(303) 619-9252 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 26, 2024, Nov 20, 2019 (2 updates tracked since 2019).

About Amaze Professional Medical Services Pc NPPES

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

AMAZE PROFESSIONAL MEDICAL SERVICES PC (NPI 1225674625) is a healthcare organization registered as a family medicine in Longmont, Colorado and active in the NPI registry since November 2019. The organization lists Aaron Starr, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1225674625
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAMAZE PROFESSIONAL MEDICAL SERVICES PC
Location Address8444 SUMMERLIN DRLongmont, CO 80503-3906
Mailing AddressPo Box 329Longmont, CO 80502-0329
Organization SubpartNo
Authorized OfficialAaron StarrChief Legal Officer · (303) 684-7418
Enumeration DateNovember 20, 2019
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedJuly 26, 2024
✔ NPI 1225674625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8444 SUMMERLIN DR, Longmont, CO 80503

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amaze Professional Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Amaze Professional Medical Services PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1972967651
1550 S POTOMAC ST SUITE 250
Aurora, CO 80012
(303) 632-8648
✔ PECOS35 mi
Mental Health Counselor
NPI 1558931030
50 NORTHGATE INDUSTRIAL DR
Granite City, IL 62040
(618) 877-4420
✔ PECOS✔ Accepts Medicare808 mi
Nurse Practitioner
NPI 1154727097
12 N 64TH ST
Belleville, IL 62223
(618) 877-4420
✔ PECOS✔ Accepts Medicare816 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 Amaze Professional Medical Services PC's NPI number?

The NPI number for Amaze Professional Medical Services PC is 1225674625. It was assigned to this organization in the NPPES registry on November 20, 2019.

Where is Amaze Professional Medical Services PC located?

Amaze Professional Medical Services PC is located at 8444 Summerlin Dr, Longmont, CO 80503. The listed phone number is (303) 619-9252.

What is Amaze Professional Medical Services PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amaze Professional Medical Services PC enrolled in Medicare?

Yes. Amaze Professional Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amaze Professional Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Amaze Professional Medical Services PC, in Mental Health Counselor and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Amaze Professional Medical Services PC accept?

Health plans from Blue Cross and Blue Shield of Texas list Amaze Professional Medical Services PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amaze Professional Medical Services PC was last updated on July 26, 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.