Advanced Neurology of Colorado LLC
A Medicare group practice based in Longmont, CO: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2860398146), with 12 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2860398146
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CO
- Enrollments
- 1
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20031209000085 | CO | Part B Supplier - Clinic/Group Practice | 1972556991 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Advanced Neurology of Colorado, LLC
- Specialist
- Fort Collins, CO
- NPI 1972556991
-
Advanced Neurology of Colorado, LLC
- Neurology Physician
- Longmont, CO
- NPI 1386365641
Practice locations
- Fort Collins, CO1
- Longmont, CO1
Clinicians 12
Clinicians who reassign their Medicare benefits to this group (12) or whom Care Compare lists as members (7).
-
Sidarth Dasari
- Neurology Physician
- Boulder, CO
- NPI 1497286421
-
Kimberly Eisenbach, FNP-BC, AGACNP-BC
- Nurse Practitioner
- Johnstown, CO
- NPI 1811414295
-
Beverly Faye Gilder, MD
- Neurology Physician
- Fort Collins, CO
- NPI 1871658393
-
Elijah Austin Lackey, MD
- Neurology Physician
- Fort Collins, CO
- NPI 1821594219
-
Benjamin Miceli, PA-C
- Physician Assistant
- Fort Collins, CO
- NPI 1043633324
-
Tamara A Miller, M.D.
- Specialist
- Fort Collins, CO
- NPI 1982659017
-
Augusto Miravalle, MD
- Neurology Physician
- Chicago, IL
- NPI 1629216627
-
Jill Marie Olson, MD
- Neurology Physician
- Fort Collins, CO
- NPI 1346446903
-
Colleen Elizabeth Wallace, PA-C
- Physician Assistant
- Longmont, CO
- NPI 1568187904
-
Christina M Weber, DNP, AGACNP-BC
- Nurse Practitioner
- Lone Tree, CO
- NPI 1164001418
-
Courtney Weir, NP
- Family Nurse Practitioner
- Johnstown, CO
- NPI 1437661170
-
Ning Sarah Yang
- Neurology Physician
- Johnstown, CO
- NPI 1275809675
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.