Individual provider Active NPI

Amalie Miller Carrino, PA-C

  • Physician Assistant
  • Pueblo, CO
National Provider Identifier
1417601691
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0007203 Issued in CO
Practice address
400 W 16TH St
Pueblo, CO 81003-2745
Phone
(719) 584-4306
NPI assigned
Feb 7, 2022
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0007203 CO Primary

Addresses

Primary practice location

400 W 16TH St
Pueblo, CO 81003-2745

Mailing address

4462 Continental HTS Apt 321
Colorado Springs, CO 80924-1231
Phone (770) 561-8587

Other names 1

  • Amalie Claire Miller Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310000253 CO Practitioner - Physician Assistant 9739574781 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

11600 W 2ND PL
Lakewood, CO 80228-1527
Phone (720) 321-4161

1730 Blake St
Suite 100
Denver, CO 80202-1274
Phone (303) 296-2273

2222 N Nevada Ave
Colorado Springs, CO 80907-6794
Phone (719) 776-5333

402 W Bijou St
Colorado Springs, CO 80905-1309
Phone (719) 302-6942

4117 N Elizabeth St
Pueblo, CO 81008-2009
Phone (719) 545-0788

6001 E Woodman Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1476

6011 E Woodmen Rd
Suite 100
Colorado Springs, CO 80923-2605
Phone (719) 571-8888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
91.15
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA.0007203COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Usacs of Colorado Inc CurrentSince Mar 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Mar 1, 2023 Accepting new patients
American Current Care P.a. CurrentSince Apr 5, 2023 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Mar 1, 2023 Accepting new patients
Usacs of Colorado Inc CurrentSince Mar 1, 2023 Accepting new patients
American Current Care PA CurrentSince Apr 5, 2023 Accepting new patients

Locations

10860 New Allegiance Dr
Colorado Springs, CO 80921
Phone (719) 757-7000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Organizations & group practices 11

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 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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1417601691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 CONTINENTAL HTS APT 321",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809241231",
            "telephone_number": "770-561-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032745",
            "telephone_number": "719-584-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRINO",
        "first_name": "AMALIE",
        "middle_name": "MILLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMALIE",
            "last_name": "MILLER",
            "middle_name": "CLAIRE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.