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COLORADO PROVIDER NETWORK LLC
NPI 1649851155
Family Medicine - Adult Medicine in Lakewood, CO

Active since April 16, 2021
1435 GARRISON ST STE 110, LAKEWOOD, CO 80215(720) 241-3765 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2023, Apr 16, 2021 (2 updates tracked since 2021).

About Colorado Provider Network Llc NPPES

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

COLORADO PROVIDER NETWORK LLC (NPI 1649851155) is a healthcare organization registered as an adult medicine in Lakewood, Colorado and active in the NPI registry since April 2021. The organization lists John Marquez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649851155
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameCOLORADO PROVIDER NETWORK LLC
Location Address1435 GARRISON ST STE 110Lakewood, CO 80215-4748
Mailing AddressPo Box 12375Denver, CO 80212-0375 · (303) 668-5231 · Fax (720) 358-5897
Phone(720) 241-3765
Organization SubpartNo
Authorized OfficialJohn MarquezCeo · (720) 320-3218
Enumeration DateApril 16, 2021
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1649851155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1435 GARRISON ST STE 110, Lakewood, CO 80215
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado Provider Network Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Colorado Provider Network LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Megan Edwards, FNP-C
Nurse Practitioner
NPI 1427674654
1435 GARRISON ST STE 110
Lakewood, CO 80215
(720) 241-3765
✔ PECOS✔ Accepts MedicareSame address
Jennifer Seibert, M.D.
Hospice/Palliative Care
NPI 1770647216
12605 E 16TH AVE
Aurora, CO 80045
(720) 848-0000
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Colorado Provider Network LLC's NPI number?

The NPI number for Colorado Provider Network LLC is 1649851155. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Colorado Provider Network LLC located?

Colorado Provider Network LLC is located at 1435 Garrison St Ste 110, Lakewood, CO 80215. The listed phone number is (720) 241-3765.

What is Colorado Provider Network LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Colorado Provider Network LLC enrolled in Medicare?

Yes. Colorado Provider Network LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Provider Network LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Colorado Provider Network LLC, in Hospice/Palliative Care 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Provider Network LLC was last updated on June 23, 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.