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BANNER FORT COLLINS PCP LLC
NPI 1497545685
Clinic/Center - Primary Care in Fort Collins, CO

Active since May 09, 2025CLIA 06D2327684 · Waiver
1113 OAKRIDGE DR, FORT COLLINS, CO 80525(970) 449-0961 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2025, May 9, 2025 (2 updates tracked since 2025).

About Banner Fort Collins Pcp Llc NPPES

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

BANNER FORT COLLINS PCP LLC (NPI 1497545685) is a healthcare organization registered as a primary care in Fort Collins, Colorado and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497545685
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER FORT COLLINS PCP LLC
Location Address1113 OAKRIDGE DRFort Collins, CO 80525-5591
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(970) 449-0961
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateMay 9, 2025
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1497545685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1113 OAKRIDGE DR, Fort Collins, CO 80525
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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 06D2327684

Banner Fort Collins Pcp LLC · Fort Collins, CO
Active · expires Feb 4, 2028
CLIA Number06D2327684
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorSidney Pearson
Laboratory Phone(970) 449-0961
Laboratory LocationBanner Fort Collins Pcp LLC1113 Oakridge Dr, Fort Collins, CO 80525
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 13

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

JESSICA A. GUIROY MD
Family Medicine
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 225-0040
OLIVIA MARIE BRAUCHT NP
Nurse Practitioner (Family)
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 449-0961
NANCY ANNE BUTCHER NP
Nurse Practitioner (Family)
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 225-0040
DR. LUIS ANDRES POSADA MD
Family Medicine
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 449-0961
VMD PRIMARY PROVIDERS COLORADO, INC
Clinic/Center (Primary Care)
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 225-0040
DR. LARA ABRAHAMSON MD
Family Medicine
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 225-0040
DR. MARK UNGER MD
Family Medicine
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 225-0040
KATELYN CURRIER
Pharmacist (Ambulatory Care)
1113 OAKRIDGE DR
FORT COLLINS, CO 80525
Larimer County (970) 449-0961

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 Banner Fort Collins Pcp LLC's NPI number?

The NPI number for Banner Fort Collins Pcp LLC is 1497545685. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Banner Fort Collins Pcp LLC located?

Banner Fort Collins Pcp LLC is located at 1113 Oakridge Dr, Fort Collins, CO 80525. The listed phone number is (970) 449-0961.

What is Banner Fort Collins Pcp LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Banner Fort Collins Pcp LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2327684) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Banner Fort Collins Pcp LLC was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.