FAMILY MEDICINE SPECIALISTS, INC
NPI 1528912136
Family Medicine in Pueblo, CO

Active since February 23, 2026CLIA 06D2345571 · Waiver
1225 N GRAND AVE, PUEBLO, CO 81003(719) 566-5600 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Medicine Specialists, Inc NPPES

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

FAMILY MEDICINE SPECIALISTS, INC (NPI 1528912136) is a healthcare organization registered as a family medicine in Pueblo, Colorado and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through June 11, 2028 and lists Daniel Vaught, Ceo/provider, as its authorized official.

NPPES Registry Identity

NPI1528912136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE SPECIALISTS, INC
Location Address1225 N GRAND AVEPueblo, CO 81003-2845
Mailing Address1225 N Grand AvePueblo, CO 81003-2845 · (719) 544-5600
Organization SubpartNo
Authorized OfficialDaniel VaughtCeo/provider · (719) 566-5600
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1528912136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1225 N GRAND AVE, Pueblo, CO 81003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Family Medicine Specialists, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Medicine Specialists, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1407547193
314 WEST 16TH STREET
Pueblo, CO 81003
(719) 544-5600
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1609282482
1216 N RISING SUN PL
Pueblo West, CO 81007
(719) 229-4367
✔ PECOS7.4 mi
Emergency Medicine
NPI 1760402895
117 E 19TH ST
Roswell, NM 88201
(575) 627-7000
✔ PECOS✔ Accepts Medicare335 mi

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 06D2345571

Family Medicine Specialists Inc · Pueblo, CO
Active · expires Jun 11, 2028
CLIA Number06D2345571
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2026
Certificate Expiration DateJune 11, 2028
Laboratory DirectorEric Stein Bronsky
Laboratory Phone(719) 544-5600
Laboratory LocationFamily Medicine Specialists Inc1225 N Grand Ave Suite 100, Pueblo, CO 81003
CLIA data matches this NPI record on: Address Name Phone
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 Family Medicine Specialists, Inc's NPI number?

The NPI number for Family Medicine Specialists, Inc is 1528912136. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Family Medicine Specialists, Inc located?

Family Medicine Specialists, Inc is located at 1225 N Grand Ave, Pueblo, CO 81003. The listed phone number is (719) 566-5600.

What is Family Medicine Specialists, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine Specialists, Inc enrolled in Medicare?

Yes. Family Medicine Specialists, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Specialists, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Family Medicine Specialists, Inc, in Emergency Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine Specialists, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2345571) is associated with this NPI, valid through June 11, 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 Family Medicine Specialists, Inc was last updated on February 23, 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.