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MILE HIGH PLASTIC SURGERY
NPI 1982978797
Plastic Surgery in Boulder, CO

Active since February 27, 2012
2595 CANYON BLVD STE 360, BOULDER, CO 80302(303) 440-7546 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mile High Plastic Surgery NPPES

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

MILE HIGH PLASTIC SURGERY (NPI 1982978797) is a healthcare organization registered as a plastic surgery in Boulder, Colorado and active in the NPI registry since February 2012. The organization lists Nathan Roesner, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1982978797
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameMILE HIGH PLASTIC SURGERY A PROFESSIONAL LLC
Location Address2595 CANYON BLVD STE 360Boulder, CO 80302-6745
Mailing Address8186 E 28th DrDenver, CO 80238-2515
Phone(303) 440-7546
Organization SubpartNo
Authorized OfficialNathan RoesnerSole Member · (303) 552-1996
Enumeration DateFebruary 27, 2012
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1982978797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CO · DR-50492
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2595 CANYON BLVD STE 360, Boulder, CO 80302
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Other Names 2

Doing Business AsMile High Plastic Surgery
Doing Business AsAura Skin And Plastic Surgery

Other Identifiers 1

Medicaid97705578CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Plastic Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mile High Plastic Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nathan Roesner, D.O.
Plastic and Reconstructive Surgery
NPI 1598886483
2595 CANYON BLVD STE 360
Boulder, CO 80302
(303) 440-7546
✔ PECOSSame address

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 Plastic Surgery A Professional LLC's NPI number?

The NPI number for Mile High Plastic Surgery A Professional LLC is 1982978797. It was assigned to this organization in the NPPES registry on February 27, 2012. The provider is doing business as Mile High Plastic Surgery and Aura Skin and Plastic Surgery.

Where is Mile High Plastic Surgery A Professional LLC located?

Mile High Plastic Surgery A Professional LLC is located at 2595 Canyon Blvd Ste 360, Boulder, CO 80302. The listed phone number is (303) 440-7546.

What is Mile High Plastic Surgery A Professional LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Mile High Plastic Surgery A Professional LLC enrolled in Medicare?

Yes. Mile High Plastic Surgery A Professional LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mile High Plastic Surgery A Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mile High Plastic Surgery A Professional 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. 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 Plastic Surgery A Professional LLC was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.