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ALICE ELIZABETH TIBBETTS PA-C
NPI 1821640061
Physician Assistant in Longmont, CO

Active since July 09, 2019PECOS EnrolledAccepts Medicare Assignment
2030 MOUNTAIN VIEW AVE STE 420, LONGMONT, CO 80501(303) 776-9400 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2020, Jul 9, 2019 (2 updates tracked since 2019).

About Alice Elizabeth Tibbetts Pa-c NPPES

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

ALICE ELIZABETH TIBBETTS PA-C (NPI 1821640061) is an individual physician assistant in Longmont, Colorado and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821640061
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICE ELIZABETH TIBBETTSCredential: PA-C
Location Address2030 MOUNTAIN VIEW AVE STE 420Longmont, CO 80501-3182
Mailing Address10200 Grand Central Ave Ste 220Owings Mills, MD 21117-4366 · (303) 776-9400
Phone(303) 776-9400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 9, 2019
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1821640061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2030 MOUNTAIN VIEW AVE STE 420, Longmont, CO 80501
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Other Names 1

Former Name (1)Alice Elizabeth Grubb Jones

Secondary Practice Locations 2

Location 13555 Lutheran Pkwy Ste 340Wheat Ridge, CO 80033-6039 · Phone (303) 996-6005 · Fax (303) 420-8831
Location 22900 E 136th Ave Ste 201Thornton, CO 80241-3542 · Phone (303) 996-6005 · Fax (303) 420-8831

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

Alice Elizabeth Tibbetts Pa-c 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 ID1850623596
PECOS Enrollment IDI20200915001271
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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.

Other Providers at the Same Location NPPES 3

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

ADVANCED UROLOGY, PLLC
Urology
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400
MR. CONOR KUCZKA PA-C
Physician Assistant
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400
DR. JOHN MICHAEL PADDACK M.D.
Urology
2030 MOUNTAIN VIEW AVE STE 420
LONGMONT, CO 80501
Boulder County (303) 776-9400

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 Alice Tibbetts's NPI number?

The NPI number for Alice Tibbetts is 1821640061. It was assigned to this individual provider in the NPPES registry on July 9, 2019. The provider is also known as Alice Elizabeth Grubb Jones.

Where is Alice Tibbetts located?

Alice Tibbetts practices at 2030 Mountain View Ave Ste 420, Longmont, CO 80501. The listed phone number is (303) 776-9400.

What is Alice Tibbetts's specialty?

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

Is Alice Tibbetts enrolled in Medicare?

Yes. Alice Tibbetts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alice Tibbetts was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.