Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Miceli, PA-C

Individual provider Physician Assistant · NPI 1043633324

Benjamin Miceli, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 2013, 13 years ago. Practices with Advanced Neurology of Colorado LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
13
Licensed in
CO
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1107 S Lemay Ave Ste 240
Fort Collins, CO 80524-3960
Phone: (970) 495-7421
Fax: (970) 495-7424
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0003875 (CO)

Record details

NPI number1043633324
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advanced Neurology Of Colorado Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Collins