BOULDER HOLISTIC MEDICAL CENTER
NPI 1962726927
Family Medicine in Boulder, CO

Active since March 19, 2010
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305(303) 269-2560(303) 494-1841 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Boulder Holistic Medical Center NPPES

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

BOULDER HOLISTIC MEDICAL CENTER (NPI 1962726927) is a healthcare organization registered as a family medicine in Boulder, Colorado and active in the NPI registry since March 2010. The organization lists Angela Skinner, Oma Administrator, as its authorized official.

NPPES Registry Identity

NPI1962726927
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTERCARE ADVENTIST HEALTH SYSTEM
Location Address805 S BROADWAY ST, SUITE 103Boulder, CO 80305-5971
Mailing AddressPo Box 911244Denver, CO 80291-1244 · (303) 643-1099 · Fax (303) 643-1176
Fax(303) 494-1841
Organization SubpartNo
Authorized OfficialAngela SkinnerOma Administrator · (303) 673-7175
Enumeration DateMarch 19, 2010
Last NPPES UpdateApril 20, 2016
✔ NPI 1962726927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
805 S BROADWAY ST, Boulder, CO 80305

Other Names 1

Doing Business AsBoulder Holistic Medical Center

Other Identifiers 2

Medicaid98209574CO
Medicare PINC453748CO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Boulder Holistic Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

733

Medicare enrollment records show 733 clinicians reassign Medicare billing to Boulder Holistic Medical Center, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Nurse Practitioner159
Family Practice83
Internal Medicine77
Obstetrics/Gynecology69
Hospitalist47
Orthopedic Surgery36
Gastroenterology25
Mental Health Counselor20
37 other specialties217

Nearest to this location (20)

See all 733
Neurosurgery
NPI 1881634194
4743 ARAPAHOE AVE STE 202
Boulder, CO 80303
(303) 938-5700
✔ PECOS✔ Accepts Medicare1.8 mi
Neurosurgery
NPI 1699730986
4743 ARAPAHOE AVE STE 202
Boulder, CO 80303
(303) 938-5700
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1679013700
4743 ARAPAHOE AVE STE 202
Boulder, CO 80303
(303) 938-5700
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1194896969
100 HEALTH PARK DR
Louisville, CO 80027
(303) 643-1159
✔ PECOS✔ Accepts Medicare7.0 mi
Family Practice
NPI 1053587741
100 HEALTH PARK DR
Louisville, CO 80027
(303) 673-1000
✔ PECOS✔ Accepts Medicare7.0 mi
Internal Medicine
NPI 1306818620
100 HEALTH PARK DR
Louisville, CO 80027
(303) 673-1000
✔ PECOS7.0 mi
Hospitalist
NPI 1962645366
100 HEALTH PARK DR
Louisville, CO 80027
(303) 673-1000
✔ PECOS✔ Accepts Medicare7.0 mi
Family Practice
NPI 1306150370
100 HEALTH PARK DR
Louisville, CO 80027
(720) 330-3937
✔ PECOS✔ Accepts Medicare7.0 mi
Obstetrics/Gynecology
NPI 1982699286
100 HEALTH PARK DR
Louisville, CO 80027
(303) 673-1100
✔ PECOS7.0 mi
Anesthesiology
NPI 1023540044
90 HEALTH PARK DR STE 100
Louisville, CO 80027
(303) 661-4100
✔ PECOS7.0 mi
Certified Nurse Midwife (CNM)
NPI 1730691676
90 HEALTH PARK DR STE 290
Louisville, CO 80027
(303) 439-8910
✔ PECOS7.0 mi
Obstetrics/Gynecology
NPI 1922217884
90 HEALTH PARK DR STE 260
Louisville, CO 80027
(303) 649-3180
✔ PECOS✔ Accepts Medicare7.0 mi
Clinical Social Worker
NPI 1194146902
90 HEALTH PARK DR STE 130
Louisville, CO 80027
(303) 661-4100
✔ PECOS✔ Accepts Medicare7.0 mi
Gastroenterology
NPI 1205929841
80 HEALTH PARK DR STE 270
Louisville, CO 80027
(303) 269-2085
✔ PECOS✔ Accepts Medicare7.1 mi
Nurse Practitioner
NPI 1891864781
80 HEALTH PARK DR STE 270
Louisville, CO 80027
(303) 269-2085
✔ PECOS✔ Accepts Medicare7.1 mi
General Surgery
NPI 1083889927
80 HEALTH PARK DR STE 270
Louisville, CO 80027
(303) 734-2023
✔ PECOS✔ Accepts Medicare7.1 mi
Orthopedic Surgery
NPI 1649217324
80 HEALTH PARK DR STE 270
Louisville, CO 80027
(303) 661-4153
✔ PECOS✔ Accepts Medicare7.1 mi
Clinical Psychologist
NPI 1457684938
80 HEALTH PARK DR STE 270
Louisville, CO 80027
(303) 661-4100
✔ PECOS✔ Accepts Medicare7.1 mi
Neurosurgery
NPI 1558899468
90 HEALTH PARK DR STE 350
Louisville, CO 80027
(303) 925-5068
✔ PECOS✔ Accepts Medicare7.1 mi
Mental Health Counselor
NPI 1467984963
90 HEALTH PARK DR STE 290
Louisville, CO 80027
(303) 439-8910
✔ PECOS✔ Accepts Medicare7.1 mi
See all 733 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Portercare Adventist Health System's NPI number?

The NPI number for Portercare Adventist Health System is 1962726927. It was assigned to this organization in the NPPES registry on March 19, 2010. The provider is doing business as Boulder Holistic Medical Center.

Where is Portercare Adventist Health System located?

Portercare Adventist Health System is located at 805 S Broadway St Suite 103, Boulder, CO 80305. The listed phone number is (303) 269-2560.

What is Portercare Adventist Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Portercare Adventist Health System enrolled in Medicare?

Yes. Portercare Adventist Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portercare Adventist Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 733 clinicians in 45 Medicare specialties reassign their Medicare billing to Portercare Adventist Health System. 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 (159), Family Practice (83) and Internal Medicine (77). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Portercare Adventist Health System was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.