Ma Bo Inc
A Medicare group practice based in Brighton, CO: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 1254399652), with 63 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1254399652
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AK, CO, ID, NV, UT
- Enrollments
- 5
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050103000257 | UT | Part B Supplier - Clinic/Group Practice | 1740461219 |
| O20221014000034 | AK | Part B Supplier - Clinic/Group Practice | 1588185581 |
| O20230714001747 | NV | Part B Supplier - Clinic/Group Practice | 1588185581 |
| O20240401001713 | CO | Part B Supplier - Clinic/Group Practice | 1588185581 |
| O20180322002649 | ID | Part B Supplier - Clinic/Group Practice | 1588185581 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Salt Lake City, UT1
- Anchorage, AK1
- Boise, ID1
- Las Vegas, NV1
- Brighton, CO1
Clinicians 63
Clinicians who reassign their Medicare benefits to this group (63) or whom Care Compare lists as members (5).
-
Claire Ackerman, PA-C
- Physician Assistant
- Salt Lake City, UT
- NPI 1083343438
-
Perrine Johnson Anderson, APRN
- Gerontology Nurse Practitioner
- Sandy, UT
- NPI 1447222849
-
Steven James Barker Jr., PA-C
- Physician Assistant
- Taylorsville, UT
- NPI 1083387732
-
David Cristopher Benner
- Physician Assistant
- Boulder, CO
- NPI 1538150966
-
Carla L Blair, PA-C
- Physician Assistant
- North Las Vegas, NV
- NPI 1841378312
-
Colby Bliss, PA-C
- Medical Physician Assistant
- Richfield, UT
- NPI 1609324151
-
Gibran Borja
- Physician Assistant
- West Jordan, UT
- NPI 1679125934
-
Bradly Kenneth Leroy Brown, PA-C
- Family Medicine Physician
- Yakima, WA
- NPI 1043598477
-
Ryan Busch
- Physician Assistant
- Pleasant Grove, UT
- NPI 1831590504
-
Lan Alyxandre Cabatingan, FNP
- Nurse Practitioner
- Las Vegas, NV
- NPI 1700520350
-
Mark J Cacciamani, MD
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1063500163
-
Keith J. Castleton, O.D.
- Optometrist
- Salt Lake City, UT
- NPI 1730168071
-
Jan Clements, APRN
- Gerontology Nurse Practitioner
- San Mateo, CA
- NPI 1124449285
-
Samantha A Conley, FNP
- Family Nurse Practitioner
- Boise, ID
- NPI 1609585199
-
Maria Guadalupe Cruz, DNP, CNM
- Advanced Practice Midwife
- Salt Lake City, UT
- NPI 1538598065
-
Carolee Marie Cutler Peck, M.D., M.P.H.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Ammon, ID
- NPI 1588899488
-
Corey Dahl, PA-C
- Physician Assistant
- Salt Lake City, UT
- NPI 1376891366
-
Kylee Kay Dalton, FNP-C
- Family Nurse Practitioner
- Richfield, UT
- NPI 1104508357
-
Brandon D Durfee, PA-C
- Medical Physician Assistant
- Logan, UT
- NPI 1386946838
-
Rachelle Flinn, PA-C
- Physician Assistant
- Park City, UT
- NPI 1841710654
-
Rachel Gathro
- Nurse Practitioner
- North Salt Lake, UT
- NPI 1619748464
-
Alyxandria Gonzales
- Family Nurse Practitioner
- West Haven, UT
- NPI 1659053924
-
Indira Gutierrez, APRN
- Family Nurse Practitioner
- Magna, UT
- NPI 1790552925
-
Andrew Brice Heinecke, FNP-C
- Primary Care Nurse Practitioner
- West Jordan, UT
- NPI 1447819974
-
Justin Ingraham
- Family Nurse Practitioner
- Magna, UT
- NPI 1437954260
-
Selene Ingraham, APRN
- Family Nurse Practitioner
- Provo, UT
- NPI 1780577189
-
Jared Glen Jackman, PA-C
- Physician Assistant
- Richfield, UT
- NPI 1366994311
-
Vasanth Jayaraman, PA
- Physician Assistant
- Layton, UT
- NPI 1639714082
-
Sandra Bethel Jense, APRN
- Acute Care Nurse Practitioner
- Salt Lake City, UT
- NPI 1104258763
-
Jessica Jean Judd, DNP-FNP
- Primary Care Nurse Practitioner
- Heber City, UT
- NPI 1437857125
-
Dennis M Keyes, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Murray, UT
- NPI 1649038159
-
Brandon Paul Kruse, FNP-C; PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1891308094
-
Brooke Elizabeth Landis, APRN-CNP
- Family Nurse Practitioner
- Denver, CO
- NPI 1487337259
-
Cole Landon, PA-C
- Trauma Surgery Physician
- Bakersfield, CA
- NPI 1184286957
-
Lauren Lightfield, AGACNP
- Acute Care Nurse Practitioner
- Bountiful, UT
- NPI 1104296623
-
Makenna Rae Long
- Family Nurse Practitioner
- Centennial, CO
- NPI 1750115515
-
Tristan Roman Lubina
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1699360065
-
Patricia J Mages, NP
- Women's Health Nurse Practitioner
- Rifle, CO
- NPI 1588681290
-
Daniel J McAtee, PA, PT
- Physician Assistant
- Salt Lake City, UT
- NPI 1215057617
-
Stayler McOmie
- Family Nurse Practitioner
- Newport Beach, CA
- NPI 1932749538
-
Lori McPherson, PA-C
- Physician Assistant
- Bend, OR
- NPI 1598895385
-
Gwenda S Mitchell, APRN
- Family Nurse Practitioner
- Salt Lake City, UT
- NPI 1548291818
-
Trenaisa Nay, APRN-BC,NP
- Gerontology Nurse Practitioner
- Provo, UT
- NPI 1447373451
-
Justin S. Nielsen, PAC
- Physician Assistant
- Idaho Falls, ID
- NPI 1235443193
-
Marcus Pace, PA
- Physician Assistant
- Henderson, NV
- NPI 1083017081
-
Richard Dwain Persons, PA-C MPAS
- Medical Physician Assistant
- Cedar City, UT
- NPI 1447548128
-
Shanlee Pierson, FNP
- Family Nurse Practitioner
- Corvallis, OR
- NPI 1457852378
-
Albert Pope, PA
- Physician Assistant
- Orem, UT
- NPI 1164158127
-
Likio Pope, PA-C
- Medical Physician Assistant
- Taylorsville, UT
- NPI 1174016695
-
Raymond Dale Price, PA
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1932674553
-
Ashley J Reeder, PA-C
- Medical Physician Assistant
- West Jordan, UT
- NPI 1639218969
-
Jennifer K Rogers, FNP
- Family Nurse Practitioner
- Salt Lake City, UT
- NPI 1245425610
-
Edith A Shepherd, APRN LLC
- Adult Health Nurse Practitioner
- Herriman, UT
- NPI 1134457682
-
Shannon M Shouse, NP
- Nurse Practitioner
- Highlands Ranch, CO
- NPI 1336610476
-
Caren J Smith, PA-C
- Physician Assistant
- Idaho Falls, ID
- NPI 1164584074
-
Erica L Sommer
- Family Nurse Practitioner
- Twin Falls, ID
- NPI 1720794399
-
Maelin Sorenson, PA-C
- Medical Physician Assistant
- Park City, UT
- NPI 1982384996
-
Kathleen M Sproule, FNP-C
- Family Nurse Practitioner
- Denver, CO
- NPI 1316016777
-
Laura Stanton
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1609469816
-
Rick Steinburg, PA-C
- Medical Physician Assistant
- Nampa, ID
- NPI 1548265218
-
Emily Tubbs, APRN
- Home Health Registered Nurse
- Hooper, UT
- NPI 1669295630
-
Sarah White
- Physician Assistant
- Draper, UT
- NPI 1073183620
-
Denese A Williams, APRN
- Primary Care Nurse Practitioner
- Orlando, FL
- NPI 1578060042
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.