Amanda Becerril, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MSPA.0000015 Issued in CO

Practice address

1633 Medical Center PT
Colorado Springs, CO 80907-5700

Phone

(719) 636-2999

Fax

(719) 667-4150

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadows Family Medical Center IncGroup PAC ID 0446151617, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26269/brand/1/csg/1/fhir/r4

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

• Meadows Family Medical Center Inc

  • Family Medicine Physician
  • Denver, CO
  • NPI 1962440412
  Medicare reassignment Care Compare group
• Optumcare Colorado Medical Group LLC

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828
  Medicare reassignment NPD
• Lykos Medical LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1215423124
  Medicare reassignment
• Urgent Care Centennial PC

  • Urgent Care Clinic/Center
  • Centennial, CO
  • NPI 1902128507
  Medicare reassignment
• Pai Participant 1 LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chillicothe, OH
  • NPI 1093371312

  UT

  Medicare reassignment
• Santibanez Pac Utah

  • Geriatric Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1881469484
  Medicare reassignment
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1962821223
  Medicare reassignment
• Optumcare Colorado Medical Group LLC

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1740715507
  NPD
• MWS Wound Solutions LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1184482952
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1053938233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 S CASCADE AVE STE 140",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031604",
            "telephone_number": "719-538-2900",
            "fax_number": "719-538-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 MEDICAL CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075700",
            "telephone_number": "719-636-2999",
            "fax_number": "719-667-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S 21st Street",
            "address_2": "Urgent Care",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80904",
            "country_code": "US",
            "telephone_number": "719-635-5900",
            "fax_number": "719-381-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9304 Mayflower Gulch Way",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809274247",
            "country_code": "US",
            "telephone_number": "702-480-3941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15909 Jackson Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801328693",
            "country_code": "US",
            "telephone_number": "719-488-9933",
            "fax_number": "719-488-7396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECERRIL",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11931704-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "MSPA.0000015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becco Chiropractic PC
• Gregory Joseph Becco, D.C.
• Jeffery Becco, D.C.
• Justin J Becco, B.A.
• Renna Short Becerra, M.D.
• Bradley Gerard Beck, M.D.
• Brigitta Beck
• Elizabeth Anne Beck, LPC CAC III
• Kristopher Allen Beck, MS, BCBA
• Natalie Beck

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.