GRAND JUNCTION PEDIATRIC SPECIALTY CLINIC
NPI 1528837416
Pediatrics in Grand Junction, CO
About Grand Junction Pediatric Specialty Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND JUNCTION PEDIATRIC SPECIALTY CLINIC (NPI 1528837416) is a healthcare organization registered as a pediatrics in Grand Junction, Colorado and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Junction Pediatric Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
438Medicare enrollment records show 438 clinicians reassign Medicare billing to Grand Junction Pediatric Specialty Clinic, which bills Medicare for the services they deliver. Of these, 44 practice at this address and 175 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 45
Nearest to this location (20)
See all 438Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
Grand Junction, CO 81506
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 06D0940033
Grand Junction Pediatric Specialty Clinic · Grand Junction, 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 Intermountain Medical Group Grand Junction, LLC's NPI number?
The NPI number for Intermountain Medical Group Grand Junction, LLC is 1528837416. It was assigned to this organization in the NPPES registry on December 20, 2023. The provider is doing business as Grand Junction Pediatric Specialty Clinic.
Where is Intermountain Medical Group Grand Junction, LLC located?
Intermountain Medical Group Grand Junction, LLC is located at 2643 Patterson Rd Ste 405, Grand Junction, CO 81506. The listed phone number is (970) 298-7440.
What is Intermountain Medical Group Grand Junction, LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Intermountain Medical Group Grand Junction, LLC enrolled in Medicare?
Yes. Intermountain Medical Group Grand Junction, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Medical Group Grand Junction, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 438 clinicians in 45 Medicare specialties reassign their Medicare billing to Intermountain Medical Group Grand Junction, LLC. 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 (71), Internal Medicine (44) and Family Practice (39). Of these, 44 practice at this address and 175 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Intermountain Medical Group Grand Junction, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D0940033) is associated with this NPI, valid through February 3, 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 Intermountain Medical Group Grand Junction, LLC was last updated on June 28, 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.
# Grand Junction Pediatric Specialty Clinic · NPI 1528837416
Pediatrics organization in Grand Junction, Colorado. Organization record, active in the CMS NPPES registry since December 20, 2023.
## Identity
- **NPI:** 1528837416 (Entity type: Organization)
- **Enumerated:** December 20, 2023
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Intermountain Medical Group Grand Junction, Llc
- **Organization subpart:** Yes (part of Intermountain Front Range, Inc.)
- **Authorized official:** Jon Mcdaniel, VP FINANCE MEDICAL GROUP
## Practice location
- **Address:** 2643 PATTERSON RD STE 405, Grand Junction, CO 81506-1937
- **Phone:** (970) 298-7440 · **Fax:** (970) 298-7459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 438 clinicians in 45 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (71), Internal Medicine (44), Family Practice (39); 44 practice at this address and 175 within 10 miles; [full list](https://npiprofile.com/npi/1528837416/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1528837416) · Data from the CMS NPPES public registry.