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BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
NPI 1821336769
Clinic/Center - Multi-Specialty in Greeley, CO

Active since January 28, 2013
5890 W 13TH ST, STE 104, GREELEY, CO 80634(970) 392-2135(970) 378-3825 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Banner Hospital Based Physicians Colorado Llc NPPES

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

BANNER HOSPITAL BASED PHYSICIANS COLORADO LLC (NPI 1821336769) is a healthcare organization registered as a multi-specialty in Greeley, Colorado and active in the NPI registry since January 2013. The organization lists Dennis Dahlen, Sr Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1821336769
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HOSPITAL BASED PHYSICIANS COLORADO LLC
Location Address5890 W 13TH ST, STE 104Greeley, CO 80634-4821
Mailing Address1441 N 12th StPhoenix, AZ 85006-2837
Phone(970) 392-2135
Fax(970) 378-3825
Organization SubpartYesParent: Banner Medical Group Colorado
Authorized OfficialDennis DahlenSr Vp Finance · (602) 747-4000
Enumeration DateJanuary 28, 2013
✔ NPI 1821336769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
5890 W 13TH ST, Greeley, CO 80634
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Banner Hospital Based Physicians Colorado Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

163

Medicare enrollment records show 163 clinicians reassign Medicare billing to Banner Hospital Based Physicians Colorado LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 60 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Family Practice30
Internal Medicine26
Nurse Practitioner25
Obstetrics/Gynecology9
Radiation Oncology9
Hospitalist6
Critical Care (Intensivists)5
General Surgery5
21 other specialties48

Nearest to this location (20)

See all 163
Curtis Crylen, M.D.
Urology
NPI 1881644532
5890 W 13TH STREET SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts MedicareSame address
Daniel Heaston, M.D.
Orthopedic Surgery
NPI 1871715078
5890 W 13TH ST STE 101
Greeley, CO 80634
(970) 810-0020
✔ PECOS✔ Accepts MedicareSame address
Kelly Sanderford, MD
Orthopedic Surgery
NPI 1790730562
5890 W 13TH ST 101
Greeley, CO 80634
(970) 348-0020
✔ PECOS✔ Accepts MedicareSame address
James Wolach, M.D.
Urology
NPI 1881673820
5890 W 13TH ST SUITE 106
Greeley, CO 80634
(970) 378-1000
✔ PECOS✔ Accepts MedicareSame address
Colten Bray, NP
Nurse Practitioner
NPI 1710585500
5881 W 16TH ST STE A
Greeley, CO 80634
(970) 652-2454
✔ PECOS✔ Accepts Medicare0.1 mi
David Puls, D.O.
Family Practice
NPI 1982800835
5623 W 19TH ST
Greeley, CO 80634
(970) 353-9011
✔ PECOS✔ Accepts Medicare0.6 mi
Matthew Measel, M.D.
Internal Medicine
NPI 1851594188
6810 10TH ST
Greeley, CO 80634
(970) 425-6770
✔ PECOS✔ Accepts Medicare0.8 mi
Matthew Martinez, MD
Family Practice
NPI 1881669703
6801 W 20TH ST UNIT 101
Greeley, CO 80634
(970) 378-8000
✔ PECOS✔ Accepts Medicare1.1 mi
Brandon Myers, APRN
Nurse Practitioner
NPI 1144570763
2410 W 16TH ST
Greeley, CO 80634
(970) 810-5612
✔ PECOS✔ Accepts Medicare3.0 mi
Samantha Driscoll, MD
Internal Medicine
NPI 1871282368
1600 23RD AVE
Greeley, CO 80634
(262) 331-4263
✔ PECOS3.1 mi
Molly Decker, DO
General Surgery
NPI 1194972091
1801 16TH ST
Greeley, CO 80631
(970) 352-4121
✔ PECOS✔ Accepts Medicare3.5 mi
Caleb Barnhill, M.D.
Plastic and Reconstructive Surgery
NPI 1225417728
1801 16TH ST
Greeley, CO 80631
(970) 810-4121
✔ PECOS✔ Accepts Medicare3.5 mi
Mark Dziemianowicz, MD
Radiation Oncology
NPI 1154776029
1801 16TH ST
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.5 mi
Gretchen Evans, MD, MPH
Gastroenterology
NPI 1184144230
1801 16TH ST
Greeley, CO 80631
(970) 810-4475
✔ PECOS✔ Accepts Medicare3.5 mi
Lin Hao, MD
Hematology/Oncology
NPI 1528325529
1801 16TH ST
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.5 mi
Ashley Imburgia, PSY.D
Clinical Psychologist
NPI 1295201291
1801 16TH STREET
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.5 mi
Travis Mason, MD
Surgical Oncology
NPI 1578720926
1801 16TH ST
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.5 mi
Jason Tcheng, MD, FACS
Thoracic Surgery
NPI 1215137237
1801 16TH ST
Greeley, CO 80631
(970) 810-3894
✔ PECOS✔ Accepts Medicare3.5 mi
Randall Marsh, MD
Cardiovascular Disease (Cardiology)
NPI 1720042161
1800 15TH ST SUITE 310
Greeley, CO 80631
(970) 392-0900
✔ PECOS✔ Accepts Medicare3.5 mi
Kenneth Richards, MD
Cardiac Surgery
NPI 1083689376
1800 15TH ST SUITE 340
Greeley, CO 80631
(970) 378-4593
✔ PECOS3.5 mi
See all 163 clinicians

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 Banner Hospital Based Physicians Colorado LLC's NPI number?

The NPI number for Banner Hospital Based Physicians Colorado LLC is 1821336769. It was assigned to this organization in the NPPES registry on January 28, 2013.

Where is Banner Hospital Based Physicians Colorado LLC located?

Banner Hospital Based Physicians Colorado LLC is located at 5890 W 13th St Ste 104, Greeley, CO 80634. The listed phone number is (970) 392-2135.

What is Banner Hospital Based Physicians Colorado LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Banner Hospital Based Physicians Colorado LLC enrolled in Medicare?

Yes. Banner Hospital Based Physicians Colorado LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Banner Hospital Based Physicians Colorado LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 163 clinicians in 29 Medicare specialties reassign their Medicare billing to Banner Hospital Based Physicians Colorado LLC. 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 (30), Internal Medicine (26) and Nurse Practitioner (25). Of these, 4 practice at this address and 60 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 Banner Hospital Based Physicians Colorado LLC was last updated on January 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.