CENTURA HEALTH PHYSICIAN GROUP PRIMARY CARE BROADMOOR
NPI 1992171219
Family Medicine in Colorado Springs, CO
About Centura Health Physician Group Primary Care Broadmoor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTURA HEALTH PHYSICIAN GROUP PRIMARY CARE BROADMOOR (NPI 1992171219) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since August 2015. The organization lists Angela Skinner, Oma / Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centura Health Physician Group Primary Care Broadmoor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
1,192Medicare enrollment records show 1,192 clinicians reassign Medicare billing to Centura Health Physician Group Primary Care Broadmoor, which bills Medicare for the services they deliver. Of these, 157 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 51
Nearest to this location (20)
See all 1,192Source: 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 Catholic Health Initiatives Colorado's NPI number?
The NPI number for Catholic Health Initiatives Colorado is 1992171219. It was assigned to this organization in the NPPES registry on August 20, 2015. The provider is doing business as Centura Health Physician Group Primary Care Broadmoor.
Where is Catholic Health Initiatives Colorado located?
Catholic Health Initiatives Colorado is located at 1263 Lake Plaza Dr Suite 230, Colorado Springs, CO 80906. The listed phone number is (719) 776-3300.
What is Catholic Health Initiatives Colorado's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Catholic Health Initiatives Colorado enrolled in Medicare?
Yes. Catholic Health Initiatives Colorado is registered in the Medicare PECOS enrollment system.
When is Catholic Health Initiatives Colorado's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Catholic Health Initiatives Colorado?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,192 clinicians in 51 Medicare specialties reassign their Medicare billing to Catholic Health Initiatives Colorado. 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 (206), Hospitalist (177) and Family Practice (161). Of these, 157 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 Catholic Health Initiatives Colorado 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.
# Centura Health Physician Group Primary Care Broadmoor · NPI 1992171219
Family Medicine organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since August 20, 2015.
## Identity
- **NPI:** 1992171219 (Entity type: Organization)
- **Enumerated:** August 20, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Catholic Health Initiatives Colorado
- **Organization subpart:** No
- **Authorized official:** Angela Skinner, OMA / ADMINISTRATOR
## Practice location
- **Address:** 1263 LAKE PLAZA DR, SUITE 230, Colorado Springs, CO 80906-3564
- **Phone:** (719) 776-3300 · **Fax:** (719) 776-3329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,192 clinicians in 51 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (206), Hospitalist (177), Family Practice (161); 157 practice within 10 miles; [full list](https://npiprofile.com/npi/1992171219/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2016
- **Other identifiers:** Medicare PIN C804958 (CO); Medicaid 50830058 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1992171219) · Data from the CMS NPPES public registry.