MAGNOLIA MEDICAL COMPANY
NPI 1477271997
Internal Medicine - Addiction Medicine in Wheat Ridge, CO

Active since August 19, 2022CLIA 06D2043858 · Waiver
10160 W 50TH AVE UNIT 4, WHEAT RIDGE, CO 80033(303) 209-5115(720) 638-5562 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2024, Aug 24, 2022, Aug 19, 2022 (3 updates tracked since 2022).

About Magnolia Medical Company NPPES

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

MAGNOLIA MEDICAL COMPANY (NPI 1477271997) is a healthcare organization registered as an addiction medicine in Wheat Ridge, Colorado and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Valerie Lavoie, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477271997
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAGNOLIA MEDICAL COMPANY
Location Address10160 W 50TH AVE UNIT 4Wheat Ridge, CO 80033-2339
Mailing AddressPo Box 29605, Dept # 800927Phoenix, AZ 85038-9605 · (303) 209-5115 · Fax (720) 638-5562
Fax(720) 638-5562
Organization SubpartNo
Authorized OfficialValerie LavoiePractice Manager · (303) 209-5115
Enumeration DateAugust 19, 2022
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1477271997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
10160 W 50TH AVE UNIT 4, Wheat Ridge, CO 80033

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Magnolia Medical Company is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

30

Medicare enrollment records show 30 clinicians reassign Medicare billing to Magnolia Medical Company, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner19
General Practice4
Clinical Social Worker1
Critical Care (Intensivists)1
Family Practice1
Geriatric Medicine1
Hospitalist1
Mental Health Counselor1
1 other specialty1

Nearest to this location (20)

See all 30
Nurse Practitioner
NPI 1922842830
12600 W COLFAX AVE STE B200
Lakewood, CO 80215
(303) 933-1330
✔ PECOS✔ Accepts Medicare3.6 mi
Mental Health Counselor
NPI 1689195562
1075 S YUKON ST LAKEWOOD #100
Lakewood, CO 80226
(303) 238-5042
✔ PECOS6.3 mi
General Practice
NPI 1699392449
1905 SHERMAN ST STE 200 #1761
Denver, CO 80203
(720) 683-0389
✔ PECOS✔ Accepts Medicare7.3 mi
Nurse Practitioner
NPI 1790537322
777 BANNOCK ST
Denver, CO 80204
(303) 436-6000
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1205450202
777 BANNOCK ST
Denver, CO 80204
(303) 436-4949
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1750108197
777 BANNOCK ST
Denver, CO 80204
(303) 436-4949
✔ PECOS✔ Accepts Medicare7.6 mi
Nurse Practitioner
NPI 1083313639
721 LEO LN
Thornton, CO 80260
(303) 435-9615
✔ PECOS✔ Accepts Medicare7.6 mi
Clinical Social Worker
NPI 1700362167
8931 HURON ST
Thornton, CO 80260
(303) 853-3500
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1285962332
5920 S ESTES ST STE 250
Littleton, CO 80123
(303) 973-3529
✔ PECOS12 mi
Nurse Practitioner
NPI 1144696899
1455 DIXON AVE
Lafayette, CO 80026
(303) 443-8500
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1689490666
6507 S SANTA FE DR
Littleton, CO 80120
(303) 730-8858
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1265174353
11747 W KEN CARYL AVE
Littleton, CO 80127
(720) 981-2069
✔ PECOS✔ Accepts Medicare14 mi
Hospitalist
NPI 1730403288
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS15 mi
General Practice
NPI 1184863631
8181 E TUFTS AVE STE 560
Denver, CO 80237
(866) 990-8622
✔ PECOS✔ Accepts Medicare16 mi
General Practice
NPI 1790458099
8181 E TUFTS AVE STE 510
Denver, CO 80237
(720) 833-7715
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1336839331
2821 S PARKER RD STE 2-0171
Aurora, CO 80014
(402) 594-4900
✔ PECOS✔ Accepts Medicare16 mi
Geriatric Medicine
NPI 1841237070
12250 E ILIFF AVE #300
Aurora, CO 80014
(303) 306-4321
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1780720441
2230 S FRASER ST UNIT 1
Aurora, CO 80014
(303) 341-4200
✔ PECOS✔ Accepts Medicare18 mi
Critical Care (Intensivists)
NPI 1457647646
9362 TEDDY LN STE 105
Lone Tree, CO 80124
(515) 865-1568
✔ PECOS20 mi
Physical Medicine and Rehabilitation
NPI 1982669198
12230 LIONESS WAY
Parker, CO 80134
(720) 644-9355
✔ PECOS✔ Accepts Medicare22 mi
See all 30 clinicians

Source: 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 of Waiver 06D2043858

Magnolia Medical Group · Wheat Ridge, CO
Active · expires Feb 12, 2027
CLIA Number06D2043858
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorDr. Rai R. Pradeep
Laboratory Phone(303) 456-4882
Laboratory LocationMagnolia Medical Group10160 W 50th Ave #4, Wheat Ridge, CO 80033
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Magnolia Medical Company's NPI number?

The NPI number for Magnolia Medical Company is 1477271997. It was assigned to this organization in the NPPES registry on August 19, 2022.

Where is Magnolia Medical Company located?

Magnolia Medical Company is located at 10160 W 50th Ave Unit 4, Wheat Ridge, CO 80033. The listed phone number is (303) 209-5115.

What is Magnolia Medical Company's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Magnolia Medical Company enrolled in Medicare?

Yes. Magnolia Medical Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Magnolia Medical Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 9 Medicare specialties reassign their Medicare billing to Magnolia Medical Company. 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 (19), General Practice (4) and Clinical Social Worker (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Magnolia Medical Company hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2043858) is associated with this NPI, valid through February 12, 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 Magnolia Medical Company was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.