COLORADO PRIMARY CARE CLINIC INC
NPI 1942525902
Nurse Practitioner in Aurora, CO
About Colorado Primary Care Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORADO PRIMARY CARE CLINIC INC (NPI 1942525902) is a healthcare organization registered as a nurse practitioner in Aurora, Colorado and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Dawn Ann Fetzko, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Colorado Primary Care Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Colorado Primary Care Clinic Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 22Source: 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 06D2006261
Colorado Primary Care Clinic, Inc · Aurora, 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 Colorado Primary Care Clinic Inc's NPI number?
The NPI number for Colorado Primary Care Clinic Inc is 1942525902. It was assigned to this organization in the NPPES registry on April 2, 2010.
Where is Colorado Primary Care Clinic Inc located?
Colorado Primary Care Clinic Inc is located at 14991 E Hampden Ave Ste 110, Aurora, CO 80014. The listed phone number is (303) 343-9500.
What is Colorado Primary Care Clinic Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Colorado Primary Care Clinic Inc enrolled in Medicare?
Yes. Colorado Primary Care Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Colorado Primary Care Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 3 Medicare specialties reassign their Medicare billing to Colorado Primary Care Clinic Inc. 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 (19), Clinical Social Worker (2) and Marriage and Family Therapist (1). Of these, 3 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Colorado Primary Care Clinic Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2006261) is associated with this NPI, valid through April 14, 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 Colorado Primary Care Clinic Inc was last updated on March 7, 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.
# Colorado Primary Care Clinic Inc · NPI 1942525902
Nurse Practitioner organization in Aurora, Colorado. Organization record, active in the CMS NPPES registry since April 2, 2010.
## Identity
- **NPI:** 1942525902 (Entity type: Organization)
- **Enumerated:** April 2, 2010
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Dawn Fetzko, NURSE PRACTITIONER
## Practice location
- **Address:** 14991 E HAMPDEN AVE STE 110, Aurora, CO 80014-3980
- **Phone:** (303) 343-9500 · **Fax:** (303) 343-9506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (19), Clinical Social Worker (2), Marriage and Family Therapist (1); 3 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1942525902/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942525902) · Data from the CMS NPPES public registry.