Individual provider Active NPI

Alicia E Benitez, PA-C

  • Medical Physician Assistant
  • Frisco, CO
National Provider Identifier
1750864773
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005563 Issued in CO
Practice address
68 School Rd
Ste 200
Frisco, CO 80443-0000
Phone
(970) 668-2510
Fax
(970) 668-2511
NPI assigned
Sep 14, 2018
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55972 CA
Medical Physician Assistant 363AM0700X PA.0005563 CO Primary
Physician Assistant 363A00000X 0010-09673 NC

Addresses

Primary practice location

68 School Rd
Ste 200
Frisco, CO 80443-0000

Mailing address

12476 SW 1St St
Coral Springs, FL 33071-8060
Phone (954) 600-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210929003219 CO Practitioner - Physician Assistant 6507292885 Reassigns benefits to 2 organizations
I20240509000437 FL Practitioner - Physician Assistant 6507292885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mile High Urgent Care PLLCGroup PAC ID 4981019965, 24 clinicians

Practice addresses (Care Compare)

5102 S Broadway
Englewood, CO 80113-6706
Phone (720) 457-9100

901 W Hampden Ave
Unit 103
Englewood, CO 80110-7330
Phone (303) 761-1699

9985 W Remington PL
Littleton, CO 80128-9283
Phone (720) 818-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA55972CAMDPhysician Assistant
PA.0005563COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care Physicians, PC CurrentSince Sep 12, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 1, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Nov 1, 2022 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Apr 19, 2024 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 329-3727

5102 S Broadway
Englewood, CO 80113
Phone (720) 457-9100

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291

915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1750864773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12476 SW 1ST ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718060",
            "telephone_number": "954-600-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 SCHOOL RD",
            "address_2": "STE 200",
            "city": "FRISCO",
            "state": "CO",
            "postal_code": "804430000",
            "telephone_number": "970-668-2510",
            "fax_number": "970-668-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "ALICIA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55972",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005563",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, CO

Sources for this page

Verify at the official NPI Registry.