FORT LUPTON CLINIC
NPI 1881218519
Family Medicine in Fort Lupton, CO
About Fort Lupton Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT LUPTON CLINIC (NPI 1881218519) is a healthcare organization registered as a family medicine in Fort Lupton, Colorado and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Jon Mcdaniel, Vp Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 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)
Fort Lupton Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
164Medicare enrollment records show 164 clinicians reassign Medicare billing to Fort Lupton Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 164Source: 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 06D2103031
Fort Lupton Clinic · Fort Lupton, COFrequently 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 Platte Valley Medical Group, LLC's NPI number?
The NPI number for Platte Valley Medical Group, LLC is 1881218519. It was assigned to this organization in the NPPES registry on May 28, 2020. The provider is doing business as Fort Lupton Clinic.
Where is Platte Valley Medical Group, LLC located?
Platte Valley Medical Group, LLC is located at 1450 Dexter St Ste 101, Fort Lupton, CO 80621. The listed phone number is (303) 857-2087.
What is Platte Valley Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Platte Valley Medical Group, LLC enrolled in Medicare?
Yes. Platte Valley Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Platte Valley Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 24 Medicare specialties reassign their Medicare billing to Platte Valley Medical Group, 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 Cardiovascular Disease (Cardiology) (26), Obstetrics/Gynecology (21) and Nurse Practitioner (18). Of these, 4 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Platte Valley Medical Group, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2103031) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Platte Valley Medical Group, LLC was last updated on September 27, 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.
# Fort Lupton Clinic · NPI 1881218519
Family Medicine organization in Fort Lupton, Colorado. Organization record, active in the CMS NPPES registry since May 28, 2020.
## Identity
- **NPI:** 1881218519 (Entity type: Organization)
- **Enumerated:** May 28, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Platte Valley Medical Group, Llc
- **Organization subpart:** Yes (part of Brighton Community Hospital Association)
- **Authorized official:** Jon Mcdaniel, VP FINANCE
## Practice location
- **Address:** 1450 DEXTER ST STE 101, Fort Lupton, CO 80621-1503
- **Phone:** (303) 857-2087 · **Fax:** (303) 857-2385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 164 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (26), Obstetrics/Gynecology (21), Nurse Practitioner (18); 4 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1881218519/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881218519) · Data from the CMS NPPES public registry.