Olathe Community Clinic Inc
A Medicare group practice based in Montrose, CO: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5395998744), with 29 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5395998744
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 4
- Group size
- 23 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20130115000033 | CO | Part A Provider - Federally Qualified Health Center (FQHC) | 1770834244 |
| O20130806000069 | CO | Part B Supplier - Clinic/Group Practice | 1770834244 |
| O20160107000551 | CO | Part A Provider - Federally Qualified Health Center (FQHC) | 1245600493 |
| O20170926002143 | CO | Part A Provider - Federally Qualified Health Center (FQHC) | 1558886218 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Olathe Community Clinic Inc
- Federally Qualified Health Center (FQHC)
- Delta, CO
- NPI 1558886218
-
Olathe Community Clinic Inc
- Federally Qualified Health Center (FQHC)
- Olathe, CO
- NPI 1770834244
-
Olathe Community Clinic Inc.
- Federally Qualified Health Center (FQHC)
- Montrose, CO
- NPI 1245600493
Practice locations
- Olathe, CO2
- Delta, CO2
- Montrose, CO2
Clinicians 29
Clinicians who reassign their Medicare benefits to this group (27) or whom Care Compare lists as members (23).
-
Andrew Stephen Astin, DO
- Pediatrics Physician
- Montrose, CO
- NPI 1194285650
-
Erica A Balkcum, PAC
- Physician Assistant
- Montrose, CO
- NPI 1558834747
-
Juancarlos Bermudez, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1770255697
-
Marisa A Borchardt, DMD
- Dentist
- Montrose, CO
- NPI 1659998151
-
Susan Elaine Bright, MD
- Family Medicine Physician
- Delta, CO
- NPI 1235196833
-
Lacey R Estes, PA
- Physician Assistant
- Grand Junction, CO
- NPI 1053826941
-
Robin Lynn Harless, LPC
- Mental Health Counselor
- Grand Junction, CO
- NPI 1841999380
-
Crystal L Hoeland
- Mental Health Counselor
- Delta, CO
- NPI 1811400518
-
Cory F Jenkins
- Social Worker
- Montrose, CO
- NPI 1427761212
-
Donna Yun Jin, MD
- Family Medicine Physician
- Montrose, CO
- NPI 1346739653
-
Karl August Kamm, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1811123474
-
Courtney N Keller
- Family Nurse Practitioner
- Delta, CO
- NPI 1790551356
-
Isaac J Klostermann, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1386996080
-
Maxim A Kondratenko, DDS
- Dentist
- Delta, CO
- NPI 1679362180
-
Karie S Long, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1417235904
-
Sarah M Margeson, MS, LPC
- Mental Health Counselor
- Delta, CO
- NPI 1346626728
-
Jean C McCalmont, FNP-C, DNP
- Family Nurse Practitioner
- Montrose, CO
- NPI 1376098681
-
Mathew R McCullough, PA-C
- Medical Physician Assistant
- Delta, CO
- NPI 1184189425
-
Jeannie Jo Mueller, PA-C, RD, CDE
- Physician Assistant
- Montrose, CO
- NPI 1083809149
-
Briana Jean Muzic, CNP
- Family Nurse Practitioner
- Montrose, CO
- NPI 1003332214
-
David Michael Nord, PAC
- Physician Assistant
- Tooele, UT
- NPI 1932734753
-
Shaun Thomas O'Malley, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1649932146
-
Rosalind R Rafanelli, M.D.
- Family Medicine Physician
- Delta, CO
- NPI 1891751954
-
Kitty D. Reed-Macdonald, LCSW, LAC
- Clinical Social Worker
- Montrose, CO
- NPI 1033368816
-
Nicholas Glen Riley, PA-C
- Physician Assistant
- Montrose, CO
- NPI 1730702796
-
Ellen J Son, D.M.D
- General Practice Dentistry
- Delta, CO
- NPI 1225217714
-
Shaun O Sowle, LCSW CAC III
- Clinical Social Worker
- Montrose, CO
- NPI 1720012933
-
Rachel J Stranathan, PA C
- Physician Assistant
- Montrose, CO
- NPI 1114107620
-
Larissa Umberger, PA-S3
- Physician Assistant
- Delta, CO
- NPI 1093564932
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.