Individual provider Active NPI

Amanda Alig Roslyn, APN

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1801040258
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
720282 Issued in TX
Practice address
4700 E Iliff Ave
Denver, CO 80222-6025
Phone
(033) 350-0623
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 720282 TX Primary

Addresses

Primary practice location

4700 E Iliff Ave
Denver, CO 80222-6025

Mailing address

4700 E Iliff Ave
Denver, CO 80222-6025
Phone (303) 335-0062

Other identifiers 3

IdentifierTypeStateIssuer
199070702MedicaidTX
P00898300OtherTXRR MEDICARE
8Y9197OtherTXBCBS

Other names 1

  • Amanda Alig Morgan 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
I20250917002562 CO Practitioner - Nurse Practitioner 7416970199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center CorpGroup PAC ID 2062844780, 5 clinicians
Metro Community Provider Network IncGroup PAC ID 0648181214, 41 clinicians

Practice addresses (Care Compare)

4700 E Iliff Ave
Denver, CO 80222-6025
Phone (303) 335-0062

7495 W 29TH Ave
Wheat Ridge, CO 80033-8002
Phone (303) 360-6276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
720282TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network Inc Current Accepting new patients
Medical Center Corp CurrentSince Aug 25, 2025 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Sep 29, 2025 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Sep 29, 2025 Accepting new patients
Memorial Clinical Associates, P.a. Family Medicine Past Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

4700 E Iliff Ave
Denver, CO 80222
Phone (303) 335-0062

2255 S Oneida St
Denver, CO 80224

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1801040258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226025",
            "telephone_number": "303-335-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E ILIFF AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226025",
            "telephone_number": "033-350-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSLYN",
        "first_name": "AMANDA",
        "middle_name": "ALIG",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "720282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199070702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00898300",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y9197",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MORGAN",
            "middle_name": "ALIG",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.