ROCKY MOUNTAIN CLINICS LLC
NPI 1922724707
Family Medicine - Addiction Medicine in Boulder, CO
About Rocky Mountain Clinics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCKY MOUNTAIN CLINICS LLC (NPI 1922724707) is a healthcare organization registered as an addiction medicine in Boulder, Colorado and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Sabrina Gibson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Rocky Mountain Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Rocky Mountain Clinics LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 36Source: 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 06D2166135
Rocky Mountain Clinic - Boulder · Boulder, 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 Rocky Mountain Clinics LLC's NPI number?
The NPI number for Rocky Mountain Clinics LLC is 1922724707. It was assigned to this organization in the NPPES registry on October 13, 2022.
Where is Rocky Mountain Clinics LLC located?
Rocky Mountain Clinics LLC is located at 4730 Table Mesa Dr Ste A100, Boulder, CO 80305. The listed phone number is (720) 476-7957.
What is Rocky Mountain Clinics LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Rocky Mountain Clinics LLC enrolled in Medicare?
Yes. Rocky Mountain Clinics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rocky Mountain Clinics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 9 Medicare specialties reassign their Medicare billing to Rocky Mountain Clinics 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 Nurse Practitioner (21), Clinical Social Worker (5) and Family Practice (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rocky Mountain Clinics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2166135) is associated with this NPI, valid through May 12, 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 Rocky Mountain Clinics LLC was last updated on March 5, 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.
# Rocky Mountain Clinics Llc · NPI 1922724707
Addiction Medicine organization in Boulder, Colorado. Organization record, active in the CMS NPPES registry since October 13, 2022.
## Identity
- **NPI:** 1922724707 (Entity type: Organization)
- **Enumerated:** October 13, 2022
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Sabrina Gibson, CFO
## Practice location
- **Address:** 4730 TABLE MESA DR STE A100, Boulder, CO 80305-5574
- **Phone:** (720) 476-7957
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (21), Clinical Social Worker (5), Family Practice (3); [full list](https://npiprofile.com/npi/1922724707/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922724707) · Data from the CMS NPPES public registry.