Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972574002 Individual Practitioner Female Practitioner

Amanda Masek Doetsch , PA-C

Physician Assistant • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Amanda Doetsch, PA-C is a registered healthcare professional specializing in Physician Assistant in Boulder, CO. Practice services are available at 777 29TH ST STE 301 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

777 29th St Ste 301

Boulder, CO 803032316

Telephone 3034408243
Fax 3034400292
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO 2164

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
77656369 (CO)
Commercial Insurance / Payer ID Railroad Medicare Pin
P00728529 (CO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Sarah Trigg

Nurse Practitioner - Family

NPI 1083583041
Natalie Ibrahim , PA-C

Physician Assistant

NPI 1285173203

Physician Assistant (Certified)

Patricia Henman , PA-C

Physician Assistant - Medical

NPI 1730361445

Physician Assistant (Certified)

Jonathan Lejeune , APRN

Nurse Practitioner - Family

NPI 1770157265

Advanced Practice Registered Nurse

Dr. Stanley Jack , DO

Family Medicine

NPI 1962578948

Doctor of Osteopathic Medicine (D.O.)

Darrell Creekmore , PA-C

Physician Assistant

NPI 1972043396

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 25, 2023

Registered at 777 29TH ST STE 301, BOULDER, CO 803032316 (Tel: 3034408243)

📍
Updated Business Mailing Address August 25, 2023

Registered at 777 29TH ST STE 301, BOULDER, CO 803032316 (Tel: 3034408243)

NPI Profile Active February 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2017

Registered at 11550 N. SHERIDAN BLVD., BROOMFIELD, CO 80020 (Tel: 3034696000)

📍
Updated Business Mailing Address February 16, 2017

Registered at 1707 COLE BLVD., STE #100, GOLDEN, CO 80401 (Tel: 3037168018)

👤
Provider Name / Credentials Updated February 16, 2017

Recorded as AMANDA DOETSCH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2017

Physician Assistant (License #2164 in CO)

NPI Profile Active November 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2014

Registered at 11550 N. SHERIDAN BLVD., BROOMFIELD, CO 80020 (Tel: 3034696000)

📍
Updated Business Mailing Address November 25, 2014

Registered at 1707 COLE BLVD., STE #100, GOLDEN, CO 80401 (Tel: 3037168013)

👤
Provider Name / Credentials Updated November 25, 2014

Recorded as AMANDA DOETSCH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2014

Physician Assistant (License #2164 in CO)

🟢
Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972574002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: August 25, 2023
Sole Proprietor: No

Mailing Address

777 29th St Ste 301

Boulder, CO 803032316

Phone: 3034408243

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.