ADVANCED NEUROLOGY OF COLORADO, LLC
NPI 1386365641
Psychiatry & Neurology - Neurology in Longmont, CO

Active since September 06, 2022CLIA 06D2004673 · Waiver
1551 PROFESSIONAL LN UNIT 125, LONGMONT, CO 80501(970) 226-6111(970) 226-6707 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Neurology Of Colorado, Llc NPPES

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

ADVANCED NEUROLOGY OF COLORADO, LLC (NPI 1386365641) is a healthcare organization registered as a neurology in Longmont, Colorado and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Paul Michael Miller, Site Manager, as its authorized official.

NPPES Registry Identity

NPI1386365641
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameADVANCED NEUROLOGY OF COLORADO, LLC
Location Address1551 PROFESSIONAL LN UNIT 125Longmont, CO 80501-6971
Mailing Address2121 E Harmony Rd Unit 180Fort Collins, CO 80528-3401 · (970) 226-6705 · Fax (970) 226-6707
Fax(970) 226-6707
Organization SubpartNo
Authorized OfficialPaul Michael MillerSite Manager · (970) 227-6333
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1386365641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1551 PROFESSIONAL LN UNIT 125, Longmont, CO 80501

Other Identifiers 1

Medicaid00609048CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Neurology Of Colorado, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20031209000085Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Advanced Neurology Of Colorado, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Neurology7
Nurse Practitioner3

Clinicians, nearest first (10)

Neurology
NPI 1497286421
2750 BROADWAY ST
Boulder, CO 80304
(303) 440-3000
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1811414295
4450 UNION ST # 201
Johnstown, CO 80534
(970) 400-0318
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1437661170
4450 UNION ST STE 201
Johnstown, CO 80534
(970) 400-0318
✔ PECOS✔ Accepts Medicare20 mi
Neurology
NPI 1275809675
4450 UNION ST # 201
Johnstown, CO 80534
(970) 400-0318
✔ PECOS✔ Accepts Medicare20 mi
Neurology
NPI 1982659017
2121 E HARMONY RD SUITE 180
Fort Collins, CO 80528
(970) 226-6111
✔ PECOS27 mi
Neurology
NPI 1871658393
2121 E HARMONY RD
Fort Collins, CO 80528
(970) 564-7956
✔ PECOS✔ Accepts Medicare27 mi
Neurology
NPI 1821594219
2121 E HARMONY RD
Fort Collins, CO 80528
(970) 226-6111
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1164001418
10535 PARK MEADOWS BLVD STE 260
Lone Tree, CO 80124
(720) 738-0515
✔ PECOS✔ Accepts Medicare44 mi
Neurology
NPI 1629216627
1725 W HARRISON ST STE 309
Chicago, IL 60612
(312) 942-8011
✔ PECOS✔ Accepts Medicare917 mi
Neurology
NPI 1346446903
2121 E. HARMONY ROAD #180
Fort Collins, CO 80528
(970) 226-6111
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2004673

Advanced Neurology Of Colorado · Fort Collins, CO
Active · expires Mar 9, 2028
CLIA Number06D2004673
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorSarah Yang
Laboratory Phone(970) 226-6111
Laboratory LocationAdvanced Neurology Of Colorado2121 E Harmony Road #180, Fort Collins, CO 80528
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Neurology Of Colorado, LLC's NPI number?

The NPI number for Advanced Neurology Of Colorado, LLC is 1386365641. It was assigned to this organization in the NPPES registry on September 6, 2022.

Where is Advanced Neurology Of Colorado, LLC located?

Advanced Neurology Of Colorado, LLC is located at 1551 Professional Ln Unit 125, Longmont, CO 80501. The listed phone number is (970) 226-6111.

What is Advanced Neurology Of Colorado, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Advanced Neurology Of Colorado, LLC enrolled in Medicare?

Yes. Advanced Neurology Of Colorado, LLC is registered in the Medicare PECOS enrollment system.

When is Advanced Neurology Of Colorado, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Neurology Of Colorado, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Neurology Of Colorado, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (7) and Nurse Practitioner (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Neurology Of Colorado, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2004673) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Neurology Of Colorado, LLC was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.