NPIMap

Organization Active NPI

Summit Primary Care

  • Primary Care Clinic/Center
  • La Junta, CO
National Provider Identifier
1861199986
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SUMMIT PRIMARY CARE
Practice address
2317 San Juan Ave
La Junta, CO 81050-3340
Phone
(719) 388-3232
Fax
(719) 383-2337
NPI assigned
Feb 9, 2023
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Michelle Oneill
Title
Office Manager
Phone
(719) 300-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2317 San Juan Ave
La Junta, CO 81050-3340

Mailing address

75 Printers Pkwy Ste 200
Colorado Springs, CO 80910-3142
Phone (719) 300-1122

Other identifiers 1

IdentifierTypeStateIssuer
9000216666MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200804000433 CO Part B Supplier - Clinic/Group Practice 3577988864 Receives reassigned benefits from 12 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Colorado Springs, CO; Englewood, CO; La Junta, CO; Pueblo, CO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2301 E Pikes Peak Ave
Ste 100
Colorado Springs, CO 80909
Phone (719) 373-1212

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1861199986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 PRINTERS PKWY STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103142",
            "telephone_number": "719-300-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 SAN JUAN AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503340",
            "telephone_number": "719-388-3232",
            "fax_number": "719-383-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-300-1122"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000216666",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Junta, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.