MAGNOLIA MEDICAL AESTHETICS, PLLC
NPI 1851198444
Family Medicine - Adult Medicine in Pueblo, CO
About Magnolia Medical Aesthetics, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA MEDICAL AESTHETICS, PLLC (NPI 1851198444), doing business as Pueblo Primary Care Clinic, is a healthcare organization registered as an adult medicine in Pueblo, Colorado and active in the NPI registry since February 2025. The organization lists Ronda Orndoff, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Magnolia Medical Aesthetics, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Medical Aesthetics, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Magnolia Medical Aesthetics, PLLC's NPI number?
The NPI number for Magnolia Medical Aesthetics, PLLC is 1851198444. It was assigned to this organization in the NPPES registry on February 28, 2025. The provider is doing business as Pueblo Primary Care Clinic.
Where is Magnolia Medical Aesthetics, PLLC located?
Magnolia Medical Aesthetics, PLLC is located at 415 N Grand Ave, Pueblo, CO 81003. The listed phone number is (719) 250-9412.
What is Magnolia Medical Aesthetics, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Magnolia Medical Aesthetics, PLLC enrolled in Medicare?
Yes. Magnolia Medical Aesthetics, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Medical Aesthetics, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Magnolia Medical Aesthetics, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Magnolia Medical Aesthetics, PLLC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Magnolia Medical Aesthetics, Pllc · NPI 1851198444
Adult Medicine organization in Pueblo, Colorado. Organization record, active in the CMS NPPES registry since February 28, 2025.
## Identity
- **NPI:** 1851198444 (Entity type: Organization)
- **Enumerated:** February 28, 2025
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Also known as:** Pueblo Primary Care Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Ronda Orndoff, OWNER/PROVIDER
## Practice location
- **Address:** 415 N GRAND AVE, Pueblo, CO 81003-3111
- **Phone:** (719) 250-9412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851198444) · Data from the CMS NPPES public registry.