Active NPI
Alicia E Benitez, PA-C
- Medical Physician Assistant
- Frisco, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0005563
- 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, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- 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
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA55972 | CA | MD | Physician Assistant |
| PA.0005563 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Urgent Care Physicians, PC | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | 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.
-
- Urgent Care Clinic/Center
- Littleton, CO
- NPI 1679163851
-
- Urgent Care Clinic/Center
- Littleton, CO
- NPI 1730781691
-
- Urgent Care Clinic/Center
- Davie, FL
- NPI 1942812763
-
dba AFC Urgent Care Broadway
- Clinic/Center
- Englewood, CO
- NPI 1306339163
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.