Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alice Elizabeth Tibbetts, PA-C

Individual provider Physician Assistant · NPI 1821640061

Alice Elizabeth Tibbetts, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2019, 7 years ago. Practices with Advanced Urology PLLC, a 58-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2030 Mountain View Ave Ste 420
Longmont, CO 80501-3182
Phone: (303) 776-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2900 E 136th Ave Ste 201, Thornton, CO 80241-3542 — (303) 996-6005
  • 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 — (303) 996-6005

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821640061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Advanced Urology Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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