Active NPI
Amanda Marie Raube-Miceli, PA-C
- Surgical Physician Assistant
- Aurora, CO
National Provider Identifier
1811328545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.0003343
- Practice address
- 12605 E 16TH Ave
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.0003343 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave
Aurora, CO 80045-2545
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other names 1
- Ms. Amanda Marie Raube
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240615000277 | NE | Practitioner - Physician Assistant | 9537392337 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Perkins County Hospital District
Practice addresses (Care Compare)
900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200
Hospital & facility affiliations
- Perkins County Health Services
- Great Plains Health
- Ogallala Community Hospital
- Perkins County Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3058 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perkins County Hospital District | Current | Accepting new patients | |
| Perkins County Hospital District | Current | Accepting new patients | |
| Perkins County Hospital District | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Past | Accepting new patients |
Locations
900 Lincoln Ave
Grant, NE 69140
Phone (308) 352-7200
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
NE
-
- Rural Health Clinic/Center
- Ogallala, NE
- NPI 1033767967
-
- Medicare Defined Swing Bed Hospital Unit
- Grant, NE
- NPI 1114933041
-
- Rural Health Clinic/Center
- Grant, NE
- NPI 1790792729
-
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
-
- Critical Access Hospital Clinic/Center
- Ogallala, NE
- NPI 1720639974
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
Hospital
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
-
- Medicare Defined Swing Bed Hospital Unit
- Grant, NE
- NPI 1114933041
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1811328545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUBE-MICELI",
"first_name": "AMANDA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0003343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "RAUBE",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.