TABEGUACHE FAMILY & SPORTS MEDICINE
Medicare Clinicians for NPI 1417455403
Family Medicine - Sports Medicine in Grand Junction, CO

Active since January 25, 2018CLIA 06D2104958 · Microscopy
3150 N 12TH ST, GRAND JUNCTION, CO 81506(970) 256-5201(970) 256-5202 Get Directions

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2022, Nov 1, 2021, Dec 20, 2019 (3 updates tracked since 2019).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Tabeguache Family & Sports Medicine in Grand Junction, CO bills Medicare for 64 clinicians across 8 Medicare specialties. The largest specialties are Family Practice with 29, Nurse Practitioner with 14 and Pediatric Medicine with 12. Of these, 49 practice at this address and 58 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

64Clinicians
8Medicare specialties
57PECOS enrolled
51Accept Medicare
64 clinicians in 8 specialties

Family Practice (29)

Family Practice
NPI 1174668891
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1881766434
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1326097106
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790820231
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-9370
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1023638053
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588197420
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932858750
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790768430
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1194702886
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1619950201
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1669583134
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1073596664
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1114975547
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1295870129
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1437132982
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508849043
3150 N 12TH ST
Grand Junction, CO 81506
(970) 256-5201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912219163
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578710893
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1831234681
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1699038315
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1336432434
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1043306525
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1669818498
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1366704181
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1033790738
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1487067591
1120 WELLINGTON AVE
Grand Junction, CO 81501
(970) 241-6011
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1447240767
401 KOKOPELLI BLVD STE 1
Fruita, CO 81521
(970) 858-9894
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1437133428
12033 AGENCY RD
Parker, AZ 85344
(928) 669-2137
✔ PECOS✔ Accepts Medicare467 mi
Family Practice
NPI 1336898295
53 S MEDICAL PARK DR
Fishersville, VA 22939
(540) 332-5687
✔ PECOS✔ Accepts Medicare1,595 mi

Nurse Practitioner (14)

Nurse Practitioner
NPI 1598133928
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619393956
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Nurse Practitioner
NPI 1831857606
3150 N 12TH ST
Grand Junction, CO 81506
(970) 255-1576
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275298499
3150 N 12TH ST
Grand Junction, CO 81506
(970) 256-5201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811676786
3150 N 12TH ST
Grand Junction, CO 81506
(970) 254-2642
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295403418
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Nurse Practitioner
NPI 1376101766
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184773657
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205451770
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780480939
3150 N 12TH ST
Grand Junction, CO 81506
(970) 254-1220
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1356935308
2460 PATTERSON RD UNIT 4A
Grand Junction, CO 81505
(970) 270-2259
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1437642683
455 KOKOPELLI BLVD STE C
Fruita, CO 81521
(970) 256-5285
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1952609810
455 KOKOPELLI BLVD STE C
Fruita, CO 81521
(970) 256-5285
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1689117475
13123 E 16TH AVE
Aurora, CO 80045
(720) 777-4538
✔ PECOS✔ Accepts Medicare204 mi

Pediatric Medicine (12)

Pediatric Medicine
NPI 1285617977
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1376526012
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1225667074
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1528718400
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1972845980
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1720484421
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1851375315
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1922081470
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1548764715
3150 N 12TH ST
Grand Junction, CO 81506
(970) 245-1220
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1740263292
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1477050524
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address
Pediatric Medicine
NPI 1346224425
2333 N 6TH ST
Grand Junction, CO 81501
(970) 200-1600
✔ PECOS0.8 mi

Physical Therapist in Private Practice (5)

Physical Therapist in Private Practice
NPI 1134329444
3150 N 12TH ST GARDEN LEVEL
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1992363634
3150 N 12TH ST
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1649768631
3150 N 12TH ST
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1295777662
3150 N 12TH ST
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1760679898
3150 N 12TH ST
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address

Internal Medicine (1)

Internal Medicine
NPI 1679513469
3150 N 12TH ST
Grand Junction, CO 81506
(970) 256-5201
✔ PECOS✔ Accepts MedicareSame address

Mental Health Counselor (1)

Mental Health Counselor
NPI 1952076341
3150 N 12TH ST
Grand Junction, CO 81506
(970) 243-5437
✔ PECOSSame address

Occupational Therapist in Private Practice (1)

Occupational Therapist in Private Practice
NPI 1003370859
3150 N 12TH ST
Grand Junction, CO 81506
(970) 241-5856
✔ Accepts MedicareSame address

Registered Dietitian or Nutrition Professional (1)

Registered Dietitian or Nutrition Professional
NPI 1063614519
3150 N 12TH ST
Grand Junction, CO 81506
(970) 255-1576
✔ Accepts MedicareSame address
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Tabeguache Family & Sports Medicine appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.