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PENCE PEDIATRICS, PC
NPI 1457023111
Pediatrics in Monte Vista, CO

Active since October 01, 2021CLIA 06D2272227 · Waiver
10 RUPERT ST, MONTE VISTA, CO 81144(719) 852-3742 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2022, Oct 1, 2021 (2 updates tracked since 2021).

About Pence Pediatrics, Pc NPPES

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

PENCE PEDIATRICS, PC (NPI 1457023111) is a healthcare organization registered as a pediatrics in Monte Vista, Colorado and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Mikaila Heldt Pence, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1457023111
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePENCE PEDIATRICS, PC
Location Address10 RUPERT STMonte Vista, CO 81144-1042
Mailing Address10 Rupert StMonte Vista, CO 81144-1042 · (719) 852-3742
Phone(719) 852-3742
Organization SubpartNo
Authorized OfficialMikaila Heldt PenceAuthorized Official · (719) 890-7723
Enumeration DateOctober 1, 2021
Last NPPES UpdateMay 23, 20242 updates tracked since enumeration
NPPES CertifiedMay 23, 2024
✔ NPI 1457023111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10 RUPERT ST, Monte Vista, CO 81144
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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

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 of Waiver 06D2272227

Pence Pediatrics PC · Monte Vista, CO
Active · expires Nov 15, 2026
CLIA Number06D2272227
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. Mikaila Heldt Pence
Laboratory Phone(719) 852-3742
Laboratory LocationPence Pediatrics PC10 Rupert St, West Entrance, Monte Vista, CO 81144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRAIG ALAN COMBES D.D.S.
Dentist (General Practice)
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-2589
CHILDREN'S SPECIALTY CLINIC OF SAN LUIS VALLEY
Community/Behavioral Health
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-3742
MRS. JORDAN LYNN EDGAR CURTIS M.S. O.T.R
Occupational Therapist
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-3742
DR. MARK J MILLS D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-3011
DR. RICHARD DONALD SANTI D.D.S.
Dentist (General Practice)
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-2552
SHELAGH ANNE TIGHE OTR/L
Occupational Therapist (Pediatrics)
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (970) 402-0624
CHILDREN'S SPECIALTY CLINIC OF SAN LUIS VALLEY
Occupational Therapist
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-3742
PATRICK RAYMOND SPARKS BCBA
Behavior Analyst
10 RUPERT ST
MONTE VISTA, CO 81144
Rio Grande County (719) 852-3742

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 Pence Pediatrics, PC's NPI number?

The NPI number for Pence Pediatrics, PC is 1457023111. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Pence Pediatrics, PC located?

Pence Pediatrics, PC is located at 10 Rupert St, Monte Vista, CO 81144. The listed phone number is (719) 852-3742.

What is Pence Pediatrics, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pence Pediatrics, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2272227) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pence Pediatrics, PC was last updated on May 23, 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.