Individual provider Active NPI

Benjamin James Wakefield, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1811864630
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009419 Issued in CO
Practice address
2240 Blake St Ste 101
Denver, CO 80205-2059
Phone
(720) 664-7183
NPI assigned
Oct 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009419 CO Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 0009419 CO

Addresses

Primary practice location

2240 Blake St Ste 101
Denver, CO 80205-2059

Mailing address

2525 Wewatta Way Apt 424
Denver, CO 80216-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251210001759 CO Practitioner - Physician Assistant 4880188556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rocky Mountain Clinics LLCGroup PAC ID 5597136218, 49 clinicians

Practice addresses (Care Compare)

35 N Ash St
Cortez, CO 81321-3201
Phone (800) 628-7828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0009419COMDAddiction Medicine (Family Medicine) Physician
PA.0009419COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics, LLC Addiction Medicine CurrentSince Dec 15, 2025 Accepting new patients
Rocky Mountain Clinics LLC Addiction Medicine CurrentSince Dec 15, 2025 Accepting new patients

Locations

35 N Ash St
Cortez, CO 81321
Phone (970) 565-4109

2240 Blake St
Ste 101
Denver, CO 80205
Phone (720) 664-7183

1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268

8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705

Organizations & group practices 3

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": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1811864630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WEWATTA WAY APT 424",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802163767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BLAKE ST STE 101",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052059",
            "telephone_number": "720-664-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009419",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CO",
            "license": "0009419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.