Active NPI
Angel Nickels
- Physician Assistant
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0005596
- Practice address
- 1120 E Elizabeth St Ste G2
Fort Collins, CO 80524-4044 - Phone
- (970) 493-9193
- Fax
- (970) 639-4475
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2025-0069 | NM | |
| Physician Assistant | 363A00000X | PA.0005596 | CO | Primary |
Addresses
Primary practice location
1120 E Elizabeth St Ste G2
Fort Collins, CO 80524-4044
Mailing address
1485 Florida Rd Ste 203C
Durango, CO 81301-6860
Phone (866) 740-0607
Other practice location 1
313 N Locke Ave
Farmington, NM 87401-5854
Phone (866) 740-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rocky Mountain Clinics LLC
Practice addresses (Care Compare)
313 N Locke Ave
Farmington, NM 87401-5854
Phone (505) 787-2367
610 Calle Vigil
Espanola, NM 87532-3655
Phone (800) 628-7828
702 W Drake Rd
Suite D
Fort Collins, CO 80526-5563
Phone (970) 493-9193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2025-0069 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Range Behavioral Health | Current | Accepting new patients | |
| Rocky Mountain Clinics, LLC | Current | Accepting new patients | |
| Rocky Mountain Clinics, LLC | Current | Accepting new patients | |
| Rocky Mountain Clinics LLC | Current | Accepting new patients | |
| Denver Health Medical Center | Past | Accepting new patients | |
| Denver Health | Past | Accepting new patients |
Locations (25 of 32)
3324 Clark St
Alamosa, CO 81101
8725 Wadsworth Blvd
Ste C
Arvada, CO 80003
2224 S Fraser St
Unit 3
Aurora, CO 80014
Phone (720) 484-4428
4720 Table Mesa Dr
Boulder, CO 80305
Phone (303) 494-5763
1121 Main St
Canon City, CO 81212
Phone (719) 275-5261
1861 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 419-7735
7190 Colorado Blvd
Ste 340
Commerce City, CO 80022
Phone (303) 467-2624
35 N Ash St
Cortez, CO 81321
Phone (970) 565-4109
390 Yampa Ave
Craig, CO 81625
Phone (662) 625-7118
2240 Blake St
Ste 101
Denver, CO 80205
Phone (720) 664-7183
1485 Florida Rd
Ste 203C
Durango, CO 81301
Phone (970) 247-9415
1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524
1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268
17301 W Colfax Ave
Ste 275
Golden, CO 80401
Phone (303) 681-1894
2478 Patterson Rd
Ste 18
Grand Junction, CO 81505
Phone (970) 644-5303
1300 N 17th Ave
Greeley, CO 80631
Phone (970) 475-6016
1407 8th Ave
Greeley, CO 80631
Phone (970) 347-2121
8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705
304 W Tomichi Ave
Ste 23
Gunnison, CO 81230
Phone (970) 644-5303
313 W 3rd St
Ste 200
La Junta, CO 81050
Phone (209) 309-1885
11000 County Road GG.5
Las Animas, CO 81054
Phone (719) 456-2600
1308 Vivian St
Longmont, CO 80501
Phone (303) 682-9197
1640 Topaz Dr
Loveland, CO 80537
Phone (720) 326-9317
11172 Huron St
Ste 20
Northglenn, CO 80234
Phone (303) 568-9694
1249 E Routt Ave
Pueblo, CO 81004
Phone (720) 808-0051
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeley, CO
- NPI 1669431524
-
- Addiction Medicine (Family Medicine) Physician
- Fort Collins, CO
- NPI 1295450294
-
- Addiction Medicine (Family Medicine) Physician
- Farmington, NM
- NPI 1285350066
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greeley, CO
- NPI 1598525032
-
- Addiction Medicine (Family Medicine) Physician
- Golden, CO
- NPI 1578289476
-
- Addiction Medicine (Family Medicine) Physician
- Alamosa, CO
- NPI 1285468546
-
- Addiction Medicine (Family Medicine) Physician
- Albuquerque, NM
- NPI 1932958501
-
- General Acute Care Hospital
- Denver, CO
- NPI 1568741122
-
- General Acute Care Hospital
- Denver, CO
- NPI 1336573070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1285100479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 FLORIDA RD STE 203C",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016860",
"telephone_number": "866-740-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E ELIZABETH ST STE G2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244044",
"telephone_number": "970-493-9193",
"fax_number": "970-639-4475"
}
],
"practiceLocations": [
{
"address_1": "313 N Locke Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015854",
"country_code": "US",
"telephone_number": "866-740-0607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICKELS",
"first_name": "ANGEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA2025-0069",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.