1. Home
  2. Directory
  3. Colorado
  4. Westminster
  5. Family Medicine
  6. NPI Profile

MILE HIGH SPINE AND PAIN CENTER LLC
NPI 1982403143
Family Medicine - Adult Medicine in Westminster, CO

Active since March 11, 2025
12061 TEJON ST STE 600, WESTMINSTER, CO 80234(303) 457-0123(303) 252-4065 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mile High Spine And Pain Center Llc NPPES

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

MILE HIGH SPINE AND PAIN CENTER LLC (NPI 1982403143) is a healthcare organization registered as an adult medicine in Westminster, Colorado and active in the NPI registry since March 2025. The organization lists Serena Hettick, Owner, as its authorized official.

NPPES Registry Identity

NPI1982403143
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMILE HIGH SPINE AND PAIN CENTER LLC
Location Address12061 TEJON ST STE 600Westminster, CO 80234-2325
Mailing Address12061 Tejon St Ste 600Westminster, CO 80234-2325 · (303) 457-0123 · Fax (303) 252-4065
Phone(303) 457-0123
Fax(303) 252-4065
Organization SubpartNo
Authorized OfficialSerena HettickOwner · (303) 457-0123
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1982403143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
12061 TEJON ST STE 600, Westminster, CO 80234
Open in Google Maps ↗

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)

Mile High Spine And Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mile High Spine And Pain Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Rachel Lee
Nurse Practitioner
NPI 1447028634
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ PECOS✔ Accepts MedicareSame address
Courtney Williams
Nurse Practitioner
NPI 1124586573
12061 TEJON ST STE 600
Westminster, CO 80234
(303) 457-0123
✔ PECOS✔ Accepts MedicareSame address
Tamara Johnson, MD
Family Practice
NPI 1992739890
110 N BAILEY
North Platte, NE 69103
(308) 534-6029
✔ PECOS✔ Accepts Medicare239 mi
Taylor Scott, FNP
Nurse Practitioner
NPI 1275493256
6211 W WILLIAM CANNON DR STE B
Austin, TX 78749
(512) 394-3905
✔ PECOS780 mi

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 Mile High Spine And Pain Center LLC's NPI number?

The NPI number for Mile High Spine And Pain Center LLC is 1982403143. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Mile High Spine And Pain Center LLC located?

Mile High Spine And Pain Center LLC is located at 12061 Tejon St Ste 600, Westminster, CO 80234. The listed phone number is (303) 457-0123.

What is Mile High Spine And Pain Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Mile High Spine And Pain Center LLC enrolled in Medicare?

Yes. Mile High Spine And Pain Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mile High Spine And Pain Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mile High Spine And Pain Center 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 (3) and Family Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mile High Spine And Pain Center LLC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.