Active NPI
Preferred Provider Services, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, CO
National Provider Identifier
1275813297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- PREFERRED PROVIDER SERVICES, LLC
- Practice address
- 3025 S Parker Rd
Suite 100
Aurora, CO 80014-2911 - Phone
- (303) 481-7030
- Fax
- (303) 745-7665
- NPI assigned
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lola Edwards, RN
- Title
- President
- Phone
- (033) 481-7030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
3025 S Parker Rd
Suite 100
Aurora, CO 80014-2911
Mailing address
3025 S Parker Rd
Suite 100
Aurora, CO 80014-2911
Phone (303) 481-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01789759 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120608000291 | CO | Part B Supplier - Clinic/Group Practice | 1951565647 |
Receives reassigned benefits from 7 practitioners Practice locations: Aurora, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2049375 | Preferred Provider Services, LLC | Certificate of waiver | Nov 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
3025 S Parker Rd
Ste 100
Aurora, CO 80014
Phone (303) 481-7030
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Aurora, CO
- NPI 1336268010
CO, Geriatric Medicine
-
- Family Nurse Practitioner
- Englewood, CO
- NPI 1093911984
-
- Family Nurse Practitioner
- Aurora, CO
- NPI 1598112666
-
- Family Medicine Physician
- Aurora, CO
- NPI 1306895578
-
- Clinical Social Worker
- Warrenton, OR
- NPI 1902862659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1275813297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 S PARKER RD",
"address_2": "SUITE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800142911",
"telephone_number": "303-481-7030",
"fax_number": "303-745-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 S PARKER RD",
"address_2": "SUITE 100",
"city": "AURORA",
"state": "CO",
"postal_code": "800142911",
"telephone_number": "303-481-7030",
"fax_number": "303-745-7665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED PROVIDER SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "LOLA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "033-481-7030",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01789759",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.