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LA PLATA FAMILY MEDICINE ASSOC PC
NPI 1609868116
Family Medicine in Durango, CO

Active since August 19, 2005CLIA 06D0518873 · Microscopy
316 SAWYER DR, DURANGO, CO 81303(970) 259-3110(970) 259-6605 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, Jul 21, 2022, Aug 23, 2018 (3 updates tracked since 2018).

About La Plata Family Medicine Assoc Pc NPPES

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

LA PLATA FAMILY MEDICINE ASSOC PC (NPI 1609868116) is a healthcare organization registered as a family medicine in Durango, Colorado and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through April 15, 2028 and lists Ashley Beaver, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1609868116
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLA PLATA FAMILY MEDICINE ASSOC PC
Location Address316 SAWYER DRDurango, CO 81303
Mailing Address316 Sawyer DrDurango, CO 81303-6560 · (970) 259-3110 · Fax (970) 259-6605
Phone(970) 259-3110
Fax(970) 259-6605
Organization SubpartNo
Authorized OfficialAshley BeaverCredentialing Specialist · (406) 927-2988
Enumeration DateAugust 19, 2005
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1609868116 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.
316 SAWYER DR, Durango, CO 81303
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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, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Plata Family Medicine Assoc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 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.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040811000870Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to La Plata Family Medicine Assoc PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Family Practice9
Nurse Practitioner3
Internal Medicine1

Clinicians, nearest first (13)

Krista Ault, MD
Family Practice
NPI 1700029774
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Peter Davenport, M.D.
Family Practice
NPI 1134395973
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Stacy Dow, PMHNP - BC
Nurse Practitioner
NPI 1215624127
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Mandy Morford, M.D.
Family Practice
NPI 1245224484
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Justin Possner, D.O.
Family Practice
NPI 1689834046
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Martin Lyons, MD
Family Practice
NPI 1548262397
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOSSame address
Taylor Vicory, MSN, FNP-C
Nurse Practitioner
NPI 1982229373
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Ryan Duvall, M.D.
Family Practice
NPI 1841428075
316 SAWYER DR
Durango, CO 81303
(970) 259-3110
✔ PECOS✔ Accepts MedicareSame address
Andrew Clarkinson, DO
Family Practice
NPI 1669819322
1970 E 3RD AVE STE 1
Durango, CO 81301
(970) 444-0260
✔ PECOS✔ Accepts Medicare3.1 mi
Jude Harrison, MD
Family Practice
NPI 1154451383
115 CONEJO PL
Durango, CO 81301
(970) 247-3229
✔ PECOS3.8 mi
Robert Green, D.O.
Family Practice
NPI 1902134380
1311 N MILDRED RD
Cortez, CO 81321
(970) 564-2146
✔ PECOS✔ Accepts Medicare39 mi
David Brown, M.D.
Internal Medicine
NPI 1558517623
1315 SNOWDEN ST
Silverton, CO 81433
(970) 329-2810
✔ PECOS✔ Accepts Medicare41 mi
Terrie Allen, FNP-C,PMHNP-BC
Nurse Practitioner
NPI 1407109267
7930 HIGHWAY 85 STE B
Riverdale, GA 30274
(404) 827-8971
✔ PECOS✔ Accepts Medicare1,345 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 for Provider-Performed Microscopy Procedures (PPMP) 06D0518873

La Plata Family Medicine Associates, PC · Durango, CO
Active · expires Apr 15, 2028
CLIA Number06D0518873
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorDr. Mandy J. Morford
Laboratory Phone(970) 259-3110
Laboratory LocationLa Plata Family Medicine Associates, PC316 Sawyer Drive, Durango, CO 81303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 La Plata Family Medicine Assoc PC's NPI number?

The NPI number for La Plata Family Medicine Assoc PC is 1609868116. It was assigned to this organization in the NPPES registry on August 19, 2005.

Where is La Plata Family Medicine Assoc PC located?

La Plata Family Medicine Assoc PC is located at 316 Sawyer Dr, Durango, CO 81303. The listed phone number is (970) 259-3110.

What is La Plata Family Medicine Assoc PC's specialty?

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

Is La Plata Family Medicine Assoc PC enrolled in Medicare?

Yes. La Plata Family Medicine Assoc PC is registered in the Medicare PECOS enrollment system.

When is La Plata Family Medicine Assoc 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 January 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 La Plata Family Medicine Assoc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to La Plata Family Medicine Assoc 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 (9), Nurse Practitioner (3) and Internal Medicine (1). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Plata Family Medicine Assoc PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0518873) is associated with this NPI, valid through April 15, 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 La Plata Family Medicine Assoc PC was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.