PLATEAU VALLEY MEDICAL CLINIC
NPI 1609990928
Family Medicine in Collbran, CO
About Plateau Valley Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PLATEAU VALLEY MEDICAL CLINIC (NPI 1609990928) is a healthcare organization registered as a family medicine in Collbran, Colorado and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Jessie Clark, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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)
Plateau Valley Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Plateau Valley Medical Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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) 06D0695278
Plateau Valley Clinic · Collbran, 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 Plateau Valley Hospital District's NPI number?
The NPI number for Plateau Valley Hospital District is 1609990928. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is doing business as Plateau Valley Medical Clinic.
Where is Plateau Valley Hospital District located?
Plateau Valley Hospital District is located at 58128 Highway 330, Collbran, CO 81624. The listed phone number is (970) 487-3565.
What is Plateau Valley Hospital District's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Plateau Valley Hospital District enrolled in Medicare?
Yes. Plateau Valley Hospital District is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Plateau Valley Hospital District?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Plateau Valley Hospital District, in Family Practice 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Plateau Valley Hospital District hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0695278) is associated with this NPI, valid through August 31, 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 Plateau Valley Hospital District was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Plateau Valley Medical Clinic · NPI 1609990928
Family Medicine organization in Collbran, Colorado. Organization record, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1609990928 (Entity type: Organization)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Plateau Valley Hospital District
- **Organization subpart:** No
- **Authorized official:** Jessie Clark, ADMINISTRATOR
## Practice location
- **Address:** 58128 HIGHWAY 330, Collbran, CO 81624-9502
- **Phone:** (970) 487-3565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2022
- **Other identifiers:** Other PLR3408 (CO); Medicaid 04703047 (CT); Medicaid 04703047 (CO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609990928) · Data from the CMS NPPES public registry.