SOUTHERN COLORADO CLINIC PC
NPI 1285613554
Clinic/Center in Pueblo, CO
About Southern Colorado Clinic Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN COLORADO CLINIC PC (NPI 1285613554) is a healthcare organization registered as a clinic/center in Pueblo, Colorado and active in the NPI registry since January 2006. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Arellano, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Colorado Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to Southern Colorado Clinic PC, which bills Medicare for the services they deliver. Of these, 24 practice at this address and 34 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 49Source: 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 2
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 of Waiver 06D2221226
Southern Colorado Clinic, PC · Pueblo, COCertificate for Provider-Performed Microscopy Procedures (PPMP) 06D2194271
Southern Colorado Clinic, PC · Pueblo West, 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 Southern Colorado Clinic PC's NPI number?
The NPI number for Southern Colorado Clinic PC is 1285613554. It was assigned to this organization in the NPPES registry on January 13, 2006.
Where is Southern Colorado Clinic PC located?
Southern Colorado Clinic PC is located at 3676 Parker Blvd, Pueblo, CO 81008. The listed phone number is (719) 553-2200.
What is Southern Colorado Clinic PC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Southern Colorado Clinic PC enrolled in Medicare?
Yes. Southern Colorado Clinic PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Colorado Clinic PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 7 Medicare specialties reassign their Medicare billing to Southern Colorado Clinic PC. 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 (34), Family Practice (8) and Internal Medicine (2). Of these, 24 practice at this address and 34 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Colorado Clinic PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Southern Colorado Clinic PC was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Southern Colorado Clinic Pc · NPI 1285613554
Clinic/Center organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since January 13, 2006.
## Identity
- **NPI:** 1285613554 (Entity type: Organization)
- **Enumerated:** January 13, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Arellano, COO
## Practice location
- **Address:** 3676 PARKER BLVD, Pueblo, CO 81008-2212
- **Phone:** (719) 553-2200 · **Fax:** (719) 553-2213
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), Family Practice (8), Internal Medicine (2); 24 practice at this address and 34 within 10 miles; [full list](https://npiprofile.com/npi/1285613554/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 5, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285613554) · Data from the CMS NPPES public registry.