TABEGUACHE FAMILY & SPORTS MEDICINE
NPI 1417455403
Family Medicine - Sports Medicine in Grand Junction, CO
About Tabeguache Family & Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABEGUACHE FAMILY & SPORTS MEDICINE (NPI 1417455403) is a healthcare organization registered as a sports medicine in Grand Junction, Colorado and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through November 15, 2027 and lists Beverly J Clark, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tabeguache Family & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Tabeguache Family & Sports Medicine, which bills Medicare for the services they deliver. Of these, 49 practice at this address and 58 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 64Source: 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
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 for Provider-Performed Microscopy Procedures (PPMP) 06D2104958
Tabeguache Family And Sports Medicine · Grand Junction, 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 Primary Care Partners, Inc.'s NPI number?
The NPI number for Primary Care Partners, Inc. is 1417455403. It was assigned to this organization in the NPPES registry on January 25, 2018. The provider is also known as Tabeguache Family & Sports Medicine.
Where is Primary Care Partners, Inc. located?
Primary Care Partners, Inc. is located at 3150 N 12th St, Grand Junction, CO 81506. The listed phone number is (970) 256-5201.
What is Primary Care Partners, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Primary Care Partners, Inc. enrolled in Medicare?
Yes. Primary Care Partners, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Care Partners, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 8 Medicare specialties reassign their Medicare billing to Primary Care Partners, Inc.. 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 Family Practice (29), Nurse Practitioner (14) and Pediatric Medicine (12). Of these, 49 practice at this address and 58 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Care Partners, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2104958) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Primary Care Partners, Inc. was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tabeguache Family & Sports Medicine · NPI 1417455403
Sports Medicine organization in Grand Junction, Colorado. Organization record, active in the CMS NPPES registry since January 25, 2018.
## Identity
- **NPI:** 1417455403 (Entity type: Organization)
- **Enumerated:** January 25, 2018
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **Legal business name:** Primary Care Partners, Inc.
- **Organization subpart:** Yes (part of Primary Care Partners, Inc.)
- **Authorized official:** Beverly Clark, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 3150 N 12TH ST, Grand Junction, CO 81506-2863
- **Phone:** (970) 256-5201 · **Fax:** (970) 256-5202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 64 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (29), Nurse Practitioner (14), Pediatric Medicine (12); 49 practice at this address and 58 within 10 miles; [full list](https://npiprofile.com/npi/1417455403/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417455403) · Data from the CMS NPPES public registry.