Active Integrated Medicine - Medicare Primary Care in Fort Morgan, CO

Active Integrated Medicine is a medicare enrolled primary clinic (General Practice) in Fort Morgan, Colorado. The current practice location for Active Integrated Medicine is 329 E Platte Ave, Fort Morgan, Colorado. For appointments, you can reach them via phone at (970) 441-1117. The mailing address for Active Integrated Medicine is 329 E Platte Ave, Fort Morgan, Colorado and phone number is (970) 441-1117.

Active Integrated Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1174016331. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (970) 441-1117.

Contact Information

Active Integrated Medicine
329 E Platte Ave
Fort Morgan
CO 80701-3172
(970) 441-1117
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameActive Integrated Medicine
SpecialityGeneral Practice
Location329 E Platte Ave, Fort Morgan, Colorado
Authorized Official Name and PositionLeif Stephens (ADMINISTRATOR)
Authorized Official Contact9704585216
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Active Integrated Medicine
329 E Platte Ave
Fort Morgan
CO 80701-3172

Ph: (970) 441-1117
Active Integrated Medicine
329 E Platte Ave
Fort Morgan
CO 80701-3172

Ph: (970) 441-1117

NPI Details:

NPI Number1174016331
Provider Enumeration Date06/12/2018
Last Update Date02/23/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4688914526
Medicare Enrollment IDO20190313000291

Medical Identifiers

Medical identifiers for Active Integrated Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174016331NPI-NPPES
1346781846OtherCONPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Active Integrated Medicine acts as a billing entity for following providers:
Provider NameLeif A Stephens
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1770733297
PECOS PAC ID: 5395802870
Enrollment ID: I20090327000278
Provider NameSandra J Boone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346781846
PECOS PAC ID: 6507137593
Enrollment ID: I20170809003272
Provider NameShenae Marcene Kembel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033747787
PECOS PAC ID: 0446669329
Enrollment ID: I20210505000962

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.