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AMANDA M PAOLUCCI
NPI 1083592158
Nurse Practitioner - Adult Health in Boulder, CO

Active since August 26, 2025PECOS EnrolledAccepts Medicare Assignment
2113 WALNUT ST APT 8, BOULDER, CO 80302(248) 495-1609 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda M Paolucci NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA M PAOLUCCI (NPI 1083592158) is an individual adult health provider in Boulder, Colorado, licensed in Colorado (APN.10000844-NP) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083592158
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA M PAOLUCCI
Location Address2113 WALNUT ST APT 8Boulder, CO 80302-4560
Mailing Address2113 Walnut St Apt 8Boulder, CO 80302-4560
Phone(248) 495-1609
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1083592158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CO · APN.10000844-NP
2113 WALNUT ST APT 8, Boulder, CO 80302
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda M Paolucci is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961991435
PECOS Enrollment IDI20251027002343
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Paolucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Long Term Care And Rehab Consultants
16 mi
Family Medicine
12650 W 64TH AVE UNIT E501
Arvada, CO 80004
  • Reassigned Medicare billing, Colorado enrollment
  • 78 clinicians in this Medicare group
NPI 1306946728 (303) 431-4127

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Paolucci's NPI number?

The NPI number for Amanda Paolucci is 1083592158. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Amanda Paolucci located?

Amanda Paolucci practices at 2113 Walnut St Apt 8, Boulder, CO 80302. The listed phone number is (248) 495-1609.

What is Amanda Paolucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Amanda Paolucci enrolled in Medicare?

Yes. Amanda Paolucci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Paolucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Paolucci reassigns Medicare benefits to Long Term Care And Rehab Consultants (Arvada, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Paolucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Paolucci was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.