Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407947286 Individual Practitioner Female Practitioner

Leandra Bibiana Bazan , PA-C, MT

Physician Assistant • Greeley, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Leandra Bazan, PA-C, MT is a certified Physician Assistant practicing in Greeley, CO. With approximately 20 years of clinical experience since completing medical education in 2006, Leandra Bazan delivers high-quality medical care to the local community at 1900 16TH ST.

Leandra Bazan is affiliated with Poudre Valley Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 16th St

Greeley, CO 80631

Telephone 9703502426
Fax 9703502478
Associated Practice Facility / Clinic
🏢 Greeley Medical Clinic Facility NPI 1336124700

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Greeley, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +6.7 yrs vs City Avg
City Avg: 13.3 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
80 Specialists

Practicing in Greeley, CO (3810 Statewide)

Telehealth Adoption Rate
15.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bazan (20 Years) 20 Yrs
Greeley Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
17 12 $254.00 $96.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 13 $190.00 $65.99

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA0005128

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9103879

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Specialist/Technologist, Other - Art, Medical

NUCC Taxonomy Code: 246ZA2600X

State License FL TN35171

None

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1407947286 (CO)

Hospital & Practice Group Affiliations

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Poudre Valley Medical Group Llc

6767 29th St, Greeley, CO 806345474

Phone: 9702243636

Secondary Practice Locations

4801 N Federal Hwy, Suite 101

Fort Lauderdale, FL 333084618

Phone: 9542020242

4801 N Federal Hwy, Suite 101

Fort Lauderdale, FL 333084618

Phone: 9542020242

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1154309011

Doctor of Medicine (M.D.)

Herbert Johnson , PA-C

Physician Assistant

NPI 1245238716

Physician Assistant (Certified)

NPI 1275574758

Doctor of Medicine (M.D.)

NPI 1407878598

Doctor of Medicine (M.D.)

NPI 1467604637

Doctor of Medicine (M.D.)

NPI 1477525285

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location November 28, 2018

Registered at 1900 16TH ST, GREELEY, CO 80631 (Tel: 9703502426)

📍
Updated Business Mailing Address November 28, 2018

Registered at 1900 16TH ST, GREELEY, CO 806315114 (Tel: 9703502426)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2018

Physician Assistant (License #PA9103879 in FL)

📍
Updated Business Mailing Address October 19, 2018

Registered at 1622 RED MOUNTAIN DR, LONGMONT, CO 805042296 (Tel: 9544252831)

NPI Profile Active December 07, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 07, 2017

Registered at 4920 MCMURRY AVE APT I2, FORT COLLINS, CO 805256278 (Tel: 9544252831)

📍
Updated Practice Location December 07, 2017

Registered at 4801 N FEDERAL HWY, SUITE 101, FORT LAUDERDALE, FL 333084618 (Tel: 9542020242)

👤
Provider Name / Credentials Updated December 07, 2017

Recorded as LEANDRA BAZAN, PA-C, MT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2017

Specialist/Technologist, Other (License #TN35171 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4801 N FEDERAL HWY, SUITE 101, FORT LAUDERDALE, FL 333084618 (Tel: 9542020242)

📍
Updated Business Mailing Address July 08, 2007

Registered at 8901 N NEW RIVER CANAL RD, #19, PLANTATION, FL 333243800 (Tel: 9543702422)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LEANDRA BAZAN, PA-C, MT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist, Other (License #TN35171 in FL)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407947286
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: November 28, 2018
Sole Proprietor: No

Mailing Address

1900 16th St

Greeley, CO 806315114

Phone: 9703502426

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.