NPIMap

Individual provider Active NPI

Amanda Jean Johnson, MD

  • Obstetrics & Gynecology Physician
  • Aurora, CO
National Provider Identifier
1013233105
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0062392 Issued in CO
Practice address
12605 E 16TH Ave
Aurora, CO 80045-2545
Phone
(720) 848-0000
NPI assigned
Apr 14, 2010
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.207295 LA
Obstetrics & Gynecology Physician 207V00000X 65969 WI
Obstetrics & Gynecology Physician 207V00000X DR.0062392 CO Primary

Addresses

Primary practice location

12605 E 16TH Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160811001509 WI Practitioner - Obstetrics/Gynecology 4789806928 Reassigns benefits to 1 organization
I20190912003416 CO Practitioner - Obstetrics/Gynecology 4789806928 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Dakota School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0062392COMDObstetrics & Gynecology Physician
MD.207295LAMDObstetrics & Gynecology Physician
65969WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Family Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2021 Accepting new patients
University Physicians, Incorporated CurrentSince Aug 1, 2019 Accepting new patients
Intermountain Medical Group Grand Junction, LLC Family Medicine Current Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Nov 30, 2024 Accepting new patients
Montrose Memorial Hospital, Inc CurrentSince Nov 30, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 30, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Family Medicine CurrentSince Jul 22, 2016 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 30, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 1, 2021 Accepting new patients
University Physicians Incorporated Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations (25 of 29)

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060

1635 Aurora Ct
Fl B198
Aurora, CO 80045

469 State Highway 7
Broomfield, CO 80023
Phone (720) 478-5000

311 Palmer St
Delta, CO 81416
Phone (970) 252-1020

1875 Lawrence St
Ste 350
Denver, CO 80202
Phone (303) 468-3480

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

3055 Roslyn St
Unit 230
Denver, CO 80238
Phone (303) 724-8089

Dept 1061
Denver, CO 80256

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1107 S Lemay Ave
Ste 410
Fort Collins, CO 80524
Phone (303) 315-6100

12905 W 40th Ave
Ste 420
Golden, CO 80401
Phone (303) 265-5670

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

710 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7106

711 N Taylor St
Ste 200
Gunnison, CO 81230
Phone (970) 240-1020

300 Exempla Cir
Ste 470
Lafayette, CO 80026
Phone (303) 665-6016

7720 S Broadway
Littleton, CO 80122
Phone (303) 814-1339

7720 S Broadway
Ste 190
Littleton, CO 80122
Phone (303) 253-7590

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

3330 S Rio Grande Ave
Ste 200
Montrose, CO 81401
Phone (970) 249-6737

715 S 3rd St
Montrose, CO 81401
Phone (970) 249-6737

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

9397 Crown Crest Blvd
Ste 310
Parker, CO 80138
Phone (303) 699-3133

1405 S 8th Ave
Ste 103
Sterling, CO 80751
Phone (970) 522-3304

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1013233105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12605 E 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452545",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.207295",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "65969",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0062392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.