Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Leandra Bibiana Bazan, PA-C, MT

Individual provider Physician Assistant · NPI 1407947286

Leandra Bibiana Bazan, PA-C, MT is a Physician Assistant in Greeley, Colorado. Qualified in 2006, 20 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Florida.

Years since qualifying
20
Licensed in
CO, FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

1900 16th St
Greeley, CO 80631
Phone: (970) 350-2426
Fax: (970) 350-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4801 N Federal Hwy, Fort Lauderdale, FL 33308-4618 — (954) 202-0242
  • 4801 N Federal Hwy, Fort Lauderdale, FL 33308-4618 — (954) 202-0242

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0005128 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA9103879 (FL)
Medical Art Specialist/Technologist Taxonomy 246ZA2600X · Licence TN35171 (FL)

Record details

NPI number1407947286
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MT
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESNovember 28, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients67
Services billed 93 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Poudre Valley Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2416 clinicians in the practice; 12 are shown here.

Other providers in Greeley