LONGS PEAK FAMILY PRACTICE, PC
NPI 1477565380
Family Medicine in Longmont, CO
About Longs Peak Family Practice, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONGS PEAK FAMILY PRACTICE, PC (NPI 1477565380) is a healthcare organization registered as a family medicine in Longmont, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through January 28, 2027 and lists Susan I Roach, Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Longs Peak Family Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Longs Peak Family Practice, PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 for Provider-Performed Microscopy Procedures (PPMP) 06D0515817
Longs Peak Family Practice · Longmont, 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 Longs Peak Family Practice, PC's NPI number?
The NPI number for Longs Peak Family Practice, PC is 1477565380. It was assigned to this organization in the NPPES registry on August 12, 2006.
Where is Longs Peak Family Practice, PC located?
Longs Peak Family Practice, PC is located at 1309 Sunset St, Longmont, CO 80501. The listed phone number is (303) 772-5578.
What is Longs Peak Family Practice, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Longs Peak Family Practice, PC enrolled in Medicare?
Yes. Longs Peak Family Practice, PC is registered in the Medicare PECOS enrollment system.
When is Longs Peak Family Practice, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Longs Peak Family Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Longs Peak Family Practice, PC. 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 (4) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Longs Peak Family Practice, PC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0515817) is associated with this NPI, valid through January 28, 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 Longs Peak Family Practice, PC was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Longs Peak Family Practice, Pc · NPI 1477565380
Family Medicine organization in Longmont, Colorado. Organization record, active in the CMS NPPES registry since August 12, 2006.
## Identity
- **NPI:** 1477565380 (Entity type: Organization)
- **Enumerated:** August 12, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Susan Roach, OFFICER
## Practice location
- **Address:** 1309 SUNSET ST, Longmont, CO 80501-3215
- **Phone:** (303) 772-5578 · **Fax:** (303) 772-8207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Nurse Practitioner (2); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2008
- **Other identifiers:** Medicare PIN CS2608
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1477565380) · Data from the CMS NPPES public registry.