Compassionate Concierge Physicians LLC
A Medicare group practice based in Cheyenne, WY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 4284069378), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 4284069378
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO, ID, WY
- Enrollments
- 3
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 13
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200117001835 | CO | Part B Supplier - Clinic/Group Practice | 1003452301 |
| O20250331002019 | ID | Part B Supplier - Clinic/Group Practice | 1003452301 |
| O20230928002666 | WY | Part B Supplier - Clinic/Group Practice | 1003452301 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Compassionate Concierge Physicians, LLC
- Family Medicine Physician
- Longmont, CO
- NPI 1003452301
-
Compassionate Concierge Physicians, LLC
- Internal Medicine Physician
- Longmont, CO
- NPI 1851074140
Practice locations
- Cheyenne, WY2
- Northglenn, CO1
- Longmont, CO1
- Parker, CO1
- Fort Collins, CO1
- Denver, CO1
- Centennial, CO1
- Sheridan, WY1
- Lander, WY1
- Laramie, WY1
- Casper, WY1
- Blackfoot, ID1
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
Kirk Ernest Mitchell, MD
- Geriatric Medicine (Internal Medicine) Physician
- Longmont, CO
- NPI 1811149685
-
Alicia Nicole Peacock, FNP
- Family Nurse Practitioner
- Lakewood, CO
- NPI 1811394828
-
Kaitlyn Rose Stiles
- Physician Assistant
- Loveland, CO
- NPI 1982480547
-
Robert E Vander Leest, MD
- Emergency Medicine Physician
- Littleton, CO
- NPI 1528034238
-
Ryan David Wolf
- Physician Assistant
- Loveland, CO
- NPI 1295719441
-
Jessica Lynn York, NP
- Family Nurse Practitioner
- Longmont, CO
- NPI 1023849973
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.