Individual provider Active NPI

Amanda Marie Dekker

  • Certified Registered Nurse Anesthetist
  • Colorado Springs, CO
National Provider Identifier
1124709522
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C-APN.0101045-C-CRNA Issued in CO
Practice address
1650 Cochrane Cir
Colorado Springs, CO 80913-4613
Phone
(719) 526-7942
NPI assigned
Jul 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C-APN.0101045-C-CRNA CO Primary

Addresses

Primary practice location

1650 Cochrane Cir
Colorado Springs, CO 80913-4613

Mailing address

1816 N Corona St
Colorado Springs, CO 80907-7646
Phone (209) 642-0054

Other names 1

  • Amanda Marie Deeter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001333 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8729513270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

1390 Dry Creek Dr
Suite B
Longmont, CO 80503-6505
Phone (303) 805-7477

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (303) 438-3999

Hospital & facility affiliations

  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-APN.0101045-C-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 14, 2024 Accepting new patients
Diehl Anesthesia Inc CurrentSince Feb 2, 2026 Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1390 Dry Creek Dr
Ste B
Longmont, CO 80503
Phone (303) 805-7477

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1124709522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 N CORONA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077646",
            "telephone_number": "209-642-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKKER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "C-APN.0101045-C-CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DEETER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.