SUMMIT PRIMARY CARE
NPI 1861199986
Clinic/Center - Primary Care in La Junta, CO

Active since February 09, 2023CLIA 06D2277801 · Waiver
2317 SAN JUAN AVE, LA JUNTA, CO 81050(719) 388-3232(719) 383-2337 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 30, 2026, Feb 20, 2023, Feb 9, 2023 (3 updates tracked since 2023).

About Summit Primary Care NPPES

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

SUMMIT PRIMARY CARE (NPI 1861199986) is a healthcare organization registered as a primary care in La Junta, Colorado and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 23, 2028 and lists Michelle Oneill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861199986
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT PRIMARY CARE
Location Address2317 SAN JUAN AVELa Junta, CO 81050-3340
Mailing Address75 Printers Pkwy Ste 200Colorado Springs, CO 80910-3142 · (719) 300-1122
Fax(719) 383-2337
Organization SubpartNo
Authorized OfficialMichelle OneillOffice Manager · (719) 300-1122
Enumeration DateFebruary 9, 2023
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1861199986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2317 SAN JUAN AVE, La Junta, CO 81050

Other Identifiers 1

Medicaid9000216666CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Summit Primary Care, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1982289625
1120 MINNEQUA AVE
Pueblo, CO 81004
(719) 281-3285
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1871079103
1120 MINNEQUA AVE
Pueblo, CO 81004
(719) 281-3285
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1609529197
1120 MINNEQUA AVE
Pueblo, CO 81004
(719) 239-3109
✔ PECOS✔ Accepts Medicare62 mi
Family Practice
NPI 1558326264
1600 N GRAND AVE STE 310
Pueblo, CO 81003
(719) 542-0072
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1679336259
517 COLORADO AVE STE A
Pueblo, CO 81004
(719) 318-0868
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1356992606
1220 LAKE PLAZA DR STE 150
Colorado Springs, CO 80906
(719) 365-3600
✔ PECOS✔ Accepts Medicare89 mi
Nurse Practitioner
NPI 1821728833
75 PRINTERS PKWY STE 200
Colorado Springs, CO 80910
(719) 300-8433
✔ PECOS✔ Accepts Medicare90 mi
Nurse Practitioner
NPI 1912885047
300 E HAMPDEN AVE STE 201
Englewood, CO 80113
(303) 993-5651
✔ PECOS140 mi
Family Practice
NPI 1518068709
855 MONTGOMERY ST
Fort Worth, TX 76107
(817) 735-2228
✔ PECOS✔ Accepts Medicare501 mi

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 of Waiver 06D2277801

Summit Primary Care · La Junta, CO
Active · expires Sep 23, 2028
CLIA Number06D2277801
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorLawrence S. Winer
Laboratory Phone(719) 383-2325
Laboratory LocationSummit Primary Care2317 San Juan Avenue, La Junta, CO 81050
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Summit Primary Care's NPI number?

The NPI number for Summit Primary Care is 1861199986. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Summit Primary Care located?

Summit Primary Care is located at 2317 San Juan Ave, La Junta, CO 81050. The listed phone number is (719) 388-3232.

What is Summit Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Summit Primary Care enrolled in Medicare?

Yes. Summit Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Summit Primary Care. 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 (7) and Family Practice (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Summit Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2277801) is associated with this NPI, valid through September 23, 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 Summit Primary Care was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.