ANGEL NICKELS
NPI 1285100479
Physician Assistant in Fort Collins, CO

Q: What is Angel Nickels's NPI number?

The NPI number for Angel Nickels is 1285100479. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Q: What is Angel Nickels's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Angel Nickels was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment

1120 E ELIZABETH ST STE G2, FORT COLLINS, CO 80524(970) 493-9193(970) 639-4475 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Jun 9, 2025, Oct 16, 2018 (3 updates tracked since 2018).

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About Angel Nickels NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL NICKELS (NPI 1285100479) is an individual physician assistant in Fort Collins, Colorado, licensed in Colorado (PA.0005596) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285100479

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGEL NICKELS

Location Address1120 E ELIZABETH ST STE G2Fort Collins, CO 80524-4044

Mailing Address1485 Florida Rd Ste 203cDurango, CO 81301-6860 · (866) 740-0607

Phone(970) 493-9193

Fax(970) 639-4475

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 16, 2018

Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration

NPPES CertifiedJuly 29, 2025

✔ NPI 1285100479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in CO · PA.0005596✔ Licensed in NM · PA2025-0069

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1120 E ELIZABETH ST STE G2, Fort Collins, CO 80524

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Secondary Practice Location 1

Location 1313 N Locke AveFarmington, NM 87401-5854 · Phone (866) 740-0607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angel Nickels is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658610423

PECOS Enrollment IDI20190222001958, I20250821001970

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

57 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JESUS JUAREZ PA

Physician Assistant