AMANDA APPEL MD, MPH
NPI 1396254157
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Aurora, CO

NPI Status: Active since September 25, 2017

Contact Information

13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

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  • Individual
  • Female
  • Years of Experience 7
  • Physical Medicine & Rehabilitation
  • Pediatric Rehabilitation Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About AMANDA APPEL

This page provides the complete NPI Profile along with additional information for Amanda Appel, a provider established in Aurora, Colorado with a medical specialization in Physical Medicine & Rehabilitation, focusing in pediatric rehabilitation medicine and more than 7 years of experience. She graduated from University Of California, Davis School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1396254157 assigned on September 2017. The practitioner's primary taxonomy code is 2081P0010X with license number DR.0072866 (CO). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1396254157
Provider Name
AMANDA APPEL MD, MPH
Gender
Female
Entity Type
Individual
Location Address
13123 E 16TH AVE AURORA, CO 80045
Location Phone
(720) 777-1234
Mailing Address
PO BOX 110429 AURORA, CO 80042
Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
09-25-2017
Last Update Date
05-12-2025
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Location Map

Secondary Locations

  • 777 Bannock St
    Denver, CO 80204
    (303) 436-4949

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine

Taxonomy Code
2081P0010X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0072866
License State
CO
Taxonomy Description
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Amanda Appel is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Amanda Appel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2769716414

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241022003540

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for AMANDA APPEL MD, MPH

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396254157, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 4 + 5 + 8 + 1 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1396254157.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
13123 E 16TH AVE
AURORA, CO 80045
Physician Assistant
13123 E 16TH AVE, B145
AURORA, CO 80045
Physician Assistant
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Hematology-Oncology)
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiology
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Infectious Diseases)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Gastroenterology)
13123 E 16TH AVE, THE CHILDRENS HOSPITAL
AURORA, CO 80045
Urology (Pediatric Urology)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE
AURORA, CO 80045
Clinical Neuropsychologist
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Gastroenterology)
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE
AURORA, CO 80045
Anesthesiology
13123 E 16TH AVE
AURORA, CO 80045
Orthopaedic Surgery
13123 E 16TH AVE
AURORA, CO 80045
Social Worker (Clinical)
13123 E 16TH AVE
AURORA, CO 80045
Occupational Therapist
13123 E 16TH AVE
AURORA, CO 80045
Pediatrics
13123 E 16TH AVE, B390
AURORA, CO 80045
Nurse Practitioner (Pediatrics)
13123 E 16TH AVE, THE CHILDREN'S HOSPITAL
AURORA, CO 80045
Pediatrics (Neonatal-Perinatal Medicine)
13123 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
13123 E 16TH AVE
AURORA, CO 80045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396254157, enumerated as an "individual" on September 25, 2017.

The provider is located at 13123 E 16TH AVE AURORA, CO 80045 and the phone number is (720) 777-1234.

Physical Medicine & Rehabilitation with taxonomy code 2081P0010X and a focus in Pediatric Rehabilitation Medicine.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.