Organization Active NPI

Painted Rock Family Medicine LLC

  • Primary Care Clinic/Center
  • Parker, CO
National Provider Identifier
1689268666
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PAINTED ROCK FAMILY MEDICINE LLC
Practice address
9998 Dransfeldt Rd
Parker, CO 80134-4013
Phone
(970) 889-1677
NPI assigned
Feb 22, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Darla Pearce, FNPNPI 1689761215
Title
Owner
Phone
(303) 214-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9998 Dransfeldt Rd
Parker, CO 80134-4013

Mailing address

9998 Dransfeldt Rd
Parker, CO 80134-4013
Phone (970) 889-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211022001773 CO Part B Supplier - Clinic/Group Practice 9234539669 Receives reassigned benefits from 8 practitioners
Practice locations: Parker, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2213254Painted Rock Family Medicine, LLC9998 Dransfeldt Road, Parker, CO 80134Certificate of waiverFeb 10, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23424/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1689268666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9998 DRANSFELDT RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344013",
            "telephone_number": "970-889-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9998 DRANSFELDT RD",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801344013",
            "telephone_number": "970-889-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED ROCK FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-214-0333",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.

Verify at the official NPI Registry.