Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KLARISANA PHYSICIAN SERVICES PLLC
NPI 1306503446
General Practice in Longmont, CO

Active since November 23, 2021
1800 INDUSTRIAL CIR STE F, LONGMONT, CO 80501(303) 535-7548(888) 504-2390 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Nov 23, 2021 (2 updates tracked since 2021).

About Klarisana Physician Services Pllc NPPES

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

KLARISANA PHYSICIAN SERVICES PLLC (NPI 1306503446) is a healthcare organization registered as a general practice in Longmont, Colorado and active in the NPI registry since November 2021. The organization lists Brooke Purnell, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1306503446
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameKLARISANA PHYSICIAN SERVICES PLLC
Location Address1800 INDUSTRIAL CIR STE FLongmont, CO 80501-6524
Mailing AddressPo Box 736403Dallas, TX 75373-6403 · (303) 535-7548 · Fax (888) 504-2390
Fax(888) 504-2390
Organization SubpartNo
Authorized OfficialBrooke PurnellAdministrative Director · (303) 535-7548
Enumeration DateNovember 23, 2021
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1306503446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1800 INDUSTRIAL CIR STE F, Longmont, CO 80501

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Klarisana Physician Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Klarisana Physician Services PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner14
Clinical Social Worker3
Mental Health Counselor2
Emergency Medicine1

Clinicians, nearest first (20)

Clinical Social Worker
NPI 1407576960
2175 ALPINE ST APT F202
Longmont, CO 80504
(774) 526-5697
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1497522155
1000 W SOUTH BOULDER RD
Lafayette, CO 80026
(303) 415-4310
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1447028634
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1427007327
8670 WOLFF CT STE 270
Westminster, CO 80031
(844) 455-2747
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1992430458
9195 GRANT ST STE 130
Thornton, CO 80229
(303) 535-7548
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1801485594
9195 GRANT ST STE 130
Thornton, CO 80229
(844) 455-2747
✔ PECOS✔ Accepts Medicare21 mi
Mental Health Counselor
NPI 1922506617
1436 S NEWPORT ST
Denver, CO 80224
(219) 929-8076
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1841936846
1240 S PARKER RD STE 100
Denver, CO 80231
(844) 455-2747
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1295992097
6650 S VINE ST STE 100
Centennial, CO 80121
(303) 535-7548
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1477334373
6650 S VINE ST STE 100
Centennial, CO 80121
(303) 535-7548
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1285259416
169 INVERNESS DR W STE 400
Englewood, CO 80112
(866) 686-2504
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1316622772
304 INVERNESS WAY S STE 225
Englewood, CO 80112
(970) 310-3406
✔ PECOS✔ Accepts Medicare43 mi
Nurse Practitioner
NPI 1750099289
12959 S PARKER RD
Parker, CO 80134
(720) 842-4089
✔ PECOS✔ Accepts Medicare50 mi
Nurse Practitioner
NPI 1396526497
401 RYLAND ST STE 200A
Reno, NV 89502
(775) 210-1227
✔ PECOS✔ Accepts Medicare781 mi
Nurse Practitioner
NPI 1598652349
12174 N MOPAC EXPY STE A
Austin, TX 78758
(303) 535-7548
✔ PECOS✔ Accepts Medicare791 mi
Nurse Practitioner
NPI 1992592984
12174 N MOPAC EXPY STE A
Austin, TX 78758
(844) 455-2747
✔ PECOS✔ Accepts Medicare791 mi
Clinical Social Worker
NPI 1588314850
12174 N MOPAC EXPY STE A
Austin, TX 78758
(303) 535-7548
✔ PECOS791 mi
Clinical Social Worker
NPI 1598430407
12174 N MOPAC EXPY STE A
Austin, TX 78758
(646) 287-8422
✔ PECOS✔ Accepts Medicare791 mi
Nurse Practitioner
NPI 1144925611
10230 ARTESIA BLVD
Bellflower, CA 90706
(562) 270-4100
✔ PECOS✔ Accepts Medicare838 mi
Nurse Practitioner
NPI 1578913562
101 E W T HARRIS BLVD STE 1121
Charlotte, NC 28262
(704) 717-2000
✔ PECOS✔ Accepts Medicare1,374 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 Klarisana Physician Services PLLC's NPI number?

The NPI number for Klarisana Physician Services PLLC is 1306503446. It was assigned to this organization in the NPPES registry on November 23, 2021.

Where is Klarisana Physician Services PLLC located?

Klarisana Physician Services PLLC is located at 1800 Industrial Cir Ste F, Longmont, CO 80501. The listed phone number is (303) 535-7548.

What is Klarisana Physician Services PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Klarisana Physician Services PLLC enrolled in Medicare?

Yes. Klarisana Physician Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Klarisana Physician Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 4 Medicare specialties reassign their Medicare billing to Klarisana Physician Services 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. The largest specialties are Nurse Practitioner (14), Clinical Social Worker (3) and Mental Health Counselor (2). Of these, 1 practice 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 Klarisana Physician Services PLLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.