NPIMap

Individual provider Active NPI

Alice Elizabeth Tibbetts, PA-C

  • Physician Assistant
  • Longmont, CO
National Provider Identifier
1821640061
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182
Phone
(303) 776-9400
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182

Mailing address

10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Phone (303) 776-9400

Other practice location 1

3555 Lutheran Pkwy Ste 340
Wheat Ridge, CO 80033-6039
Phone (303) 996-6005

Other practice location 2

2900 E 136th Ave Ste 201
Thornton, CO 80241-3542
Phone (303) 996-6005

Other names 1

  • Alice Elizabeth Grubb Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200915001271 CO Practitioner - Physician Assistant 1850623596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

2030 Mountain View Ave
Suite 420
Longmont, CO 80501-3182
Phone (303) 776-9400

300 Exempla Circle
Suite 250
Lafayette, CO 80026-3392
Phone (720) 536-3011

32135 Castle CT
Suite 101
Evergreen, CO 80439-8006
Phone (303) 985-2550

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology, PLLC CurrentSince Apr 15, 2025 Accepting new patients
Platte River Medical Clinic LLC Current Accepting new patients
Foothills Urology, PC Current Accepting new patients
Advanced Urology, PLLC Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

4743 Arapahoe Ave
Ste 104
Boulder, CO 80303
Phone (303) 443-4200

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

300 Exempla Cir
Ste 250
Lafayette, CO 80026
Phone (303) 443-8900

2030 Mountain View Ave
Ste 420
Longmont, CO 80501
Phone (303) 776-9400

3 Superior Dr
Ste 350
Superior, CO 80027
Phone (303) 666-4343

3 Superior Dr
Superior, CO 80027
Phone (303) 415-5255

500 W 144th Ave
Ste 220
Westminster, CO 80023
Phone (720) 227-0977

10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • Direct secure messaging: alice.tibbetts.1@4045.direct.athenahealth.com
  • Direct secure messaging: alicetibbetts@fu.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1821640061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 GRAND CENTRAL AVE STE 220",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174366",
            "telephone_number": "303-776-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE STE 420",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013182",
            "telephone_number": "303-776-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Lutheran Pkwy Ste 340",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800336039",
            "country_code": "US",
            "telephone_number": "303-996-6005",
            "fax_number": "303-420-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 E 136th Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802413542",
            "country_code": "US",
            "telephone_number": "303-996-6005",
            "fax_number": "303-420-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBETTS",
        "first_name": "ALICE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "GRUBB JONES",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.