Active NPI
Amanda M Paolucci
- Adult Health Nurse Practitioner
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN.10000844-NP
- Practice address
- 2113 Walnut St Apt 8
Boulder, CO 80302-4560 - Phone
- (248) 495-1609
- NPI assigned
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN.10000844-NP | CO | Primary |
Addresses
Primary practice location
2113 Walnut St Apt 8
Boulder, CO 80302-4560
Mailing address
2113 Walnut St Apt 8
Boulder, CO 80302-4560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Tabor St
Wheat Ridge, CO 80033-2112
Phone (303) 421-4161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.10000844-NP | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Term Care and Rehab Consultants | Current | Accepting new patients |
Locations
12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127
7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505
4800 Tabor St
Wheat Ridge, CO 80033
Phone (303) 421-4161
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Arvada, CO
- NPI 1306946728
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1811739923
-
- General Acute Care Hospital
- Golden, CO
- NPI 1235803917
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1619706249
-
- General Acute Care Hospital
- Wheat Ridge, CO
- NPI 1669461281
-
- General Acute Care Hospital
- Golden, CO
- NPI 1891576716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1083592158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2113 WALNUT ST APT 8",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 WALNUT ST APT 8",
"city": "BOULDER",
"state": "CO",
"postal_code": "803024560",
"telephone_number": "248-495-1609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLUCCI",
"first_name": "AMANDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "APN.10000844-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.