AMANDA ELIZABETH KELLEY PA-C, ATC
NPI 1386296937
Physician Assistant - Medical in Colorado Springs, CO

Active since July 14, 2019PECOS Enrolled
4125 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920(719) 305-9060 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Jul 2, 2024, Mar 10, 2024 and 1 more (4 updates tracked since 2019).

About Amanda Elizabeth Kelley Pa-c, Atc NPPES

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

AMANDA ELIZABETH KELLEY PA-C, ATC (NPI 1386296937) is an individual medical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0008604) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386296937
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA ELIZABETH KELLEYCredential: PA-C, ATC
Location Address4125 BRIARGATE PKWYColorado Springs, CO 80920-7804
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Enumeration DateJuly 14, 2019
Last NPPES UpdateJanuary 30, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1386296937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · PA.0008604
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT.0002683 (CO)
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA.0008604 (CO)
4125 BRIARGATE PKWY, Colorado Springs, CO 80920

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Elizabeth Kelley Pa-c, Atc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Physician Assistant (Medical)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Physician Assistant (Surgical)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Pediatrics (Pediatric Pulmonology)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Pediatrics (Pediatric Gastroenterology)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Psychiatry & Neurology (Epilepsy)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Speech-Language Pathologist
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920
Physician Assistant (Medical)
4125 BRIARGATE PKWY
COLORADO SPRINGS, CO 80920

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 Kelley's NPI number?

The NPI number for Amanda Kelley is 1386296937. It was assigned to this individual provider in the NPPES registry on July 14, 2019.

Where is Amanda Kelley located?

Amanda Kelley practices at 4125 Briargate Pkwy, Colorado Springs, CO 80920. The listed phone number is (719) 305-9060.

What is Amanda Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Kelley enrolled in Medicare?

Yes. Amanda Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Kelley was last updated on January 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.