AMANDA PANEPENTO PA
NPI 1457902868
Physician Assistant in Longmont, CO

Q: What is Amanda Panepento's NPI number?

The NPI number for Amanda Panepento is 1457902868. It was assigned to this individual provider in the NPPES registry on September 26, 2019.

Q: What is Amanda Panepento's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Panepento was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since September 26, 2019PECOS EnrolledAccepts Medicare Assignment

220 E ROGERS RD, LONGMONT, CO 80501(303) 697-2583(303) 682-6419 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2021, Sep 26, 2019 (2 updates tracked since 2019).

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About Amanda Panepento Pa NPPES

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

AMANDA PANEPENTO PA (NPI 1457902868) is an individual physician assistant in Longmont, Colorado, licensed in Colorado (PA.0006718) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Emory University School Of Medicine (2020).

NPPES Registry Identity

NPI1457902868

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA PANEPENTOCredential: PA

Location Address220 E ROGERS RDLongmont, CO 80501-6027

Mailing Address1364 Clifton Rd NeAtlanta, GA 30322-1059

Phone(303) 697-2583

Fax(303) 682-6419

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2020

Enumeration DateSeptember 26, 2019

Last NPPES UpdateJune 3, 20212 updates tracked since enumeration

NPPES CertifiedJune 3, 2021

✔ NPI 1457902868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0006718

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

220 E ROGERS RD, Longmont, CO 80501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Panepento Pa 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 ID8325448731

PECOS Enrollment IDI20250205003896

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MICHAEL W ALLEN DO

Family Medicine