PIONEER COMPREHENSIVE MEDICAL LLC
NPI 1891975595
Family Medicine in Draper, UT
About Pioneer Comprehensive Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PIONEER COMPREHENSIVE MEDICAL LLC (NPI 1891975595) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Robin Olsen, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pioneer Comprehensive Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pioneer Comprehensive Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 46D0981635
Pioneer Comprehensive Medical · Draper, UTFrequently 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 Pioneer Comprehensive Medical LLC's NPI number?
The NPI number for Pioneer Comprehensive Medical LLC is 1891975595. It was assigned to this organization in the NPPES registry on November 9, 2007.
Where is Pioneer Comprehensive Medical LLC located?
Pioneer Comprehensive Medical LLC is located at 12433 Fort St, Draper, UT 84020. The listed phone number is (801) 576-1086.
What is Pioneer Comprehensive Medical LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pioneer Comprehensive Medical LLC enrolled in Medicare?
Yes. Pioneer Comprehensive Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pioneer Comprehensive Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pioneer Comprehensive Medical 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pioneer Comprehensive Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0981635) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pioneer Comprehensive Medical LLC accept?
Health plans from University of Utah Health Plans list Pioneer Comprehensive Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pioneer Comprehensive Medical LLC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Pioneer Comprehensive Medical Llc · NPI 1891975595
Family Medicine organization in Draper, Utah. Organization record, active in the CMS NPPES registry since November 9, 2007.
## Identity
- **NPI:** 1891975595 (Entity type: Organization)
- **Enumerated:** November 9, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Robin Olsen, OFFICE MANAGER
## Practice location
- **Address:** 12433 FORT ST, Draper, UT 84020-9363
- **Phone:** (801) 576-1086 · **Fax:** (801) 576-9796
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891975595) · Data from the CMS NPPES public registry.