CLINICA FAMILY HEALTH
NPI 1659649135
Clinic/Center - Federally Qualified Health Center (FQHC) in Boulder, CO
About Clinica Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICA FAMILY HEALTH (NPI 1659649135) is a healthcare organization registered as a federally qualified health center (fqhc) in Boulder, Colorado and active in the NPI registry since December 2011. The organization lists Brian J Johnston, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Clinica Family Health 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.
Clinicians Billing Medicare Through This Organization
183Medicare enrollment records show 183 clinicians reassign Medicare billing to Clinica Family Health, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 183Source: 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 Clinica Campesina Family Health Services's NPI number?
The NPI number for Clinica Campesina Family Health Services is 1659649135. It was assigned to this organization in the NPPES registry on December 12, 2011. The provider is doing business as Clinica Family Health.
Where is Clinica Campesina Family Health Services located?
Clinica Campesina Family Health Services is located at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 665-3036.
What is Clinica Campesina Family Health Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Clinica Campesina Family Health Services enrolled in Medicare?
Yes. Clinica Campesina Family Health Services is registered in the Medicare PECOS enrollment system.
When is Clinica Campesina Family Health Services'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 Clinica Campesina Family Health Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 183 clinicians in 13 Medicare specialties reassign their Medicare billing to Clinica Campesina Family Health Services. 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 (62), Family Practice (47) and Mental Health Counselor (30). Of these, 4 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinica Campesina Family Health Services was last updated on February 24, 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.
# Clinica Family Health · NPI 1659649135
Federally Qualified Health Center (FQHC) organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since December 12, 2011.
## Identity
- **NPI:** 1659649135 (Entity type: Organization)
- **Enumerated:** December 12, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Clinica Campesina Family Health Services
- **Organization subpart:** No
- **Authorized official:** Brian Johnston, CFO
## Practice location
- **Address:** 1333 IRIS AVE, Boulder, CO 80304-2226
- **Phone:** (303) 665-3036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 183 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (62), Family Practice (47), Mental Health Counselor (30); 4 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1659649135/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1659649135) · Data from the CMS NPPES public registry.