AMANDA ILEENE STACK NP
NPI 1699648196
Nurse Practitioner - Pediatrics in Aurora, CO
About Amanda Ileene Stack Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA ILEENE STACK NP (NPI 1699648196) is an individual pediatrics provider in Aurora, Colorado, licensed in Colorado (APN.1001191-NP) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Ileene Stack Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AURORA, CO 80045
AURORA, CO 80045
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 Stack's NPI number?
The NPI number for Amanda Stack is 1699648196. It was assigned to this individual provider in the NPPES registry on September 29, 2025.
Where is Amanda Stack located?
Amanda Stack practices at 1665 Aurora Ct, Aurora, CO 80045. The listed phone number is (720) 848-0000.
What is Amanda Stack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amanda Stack enrolled in Medicare?
Yes. Amanda Stack is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amanda Stack was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Amanda Ileene Stack, NP · NPI 1699648196
Pediatrics physician in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since September 29, 2025.
## Identity
- **NPI:** 1699648196 (Entity type: Individual)
- **Enumerated:** September 29, 2025
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** APN.1001191-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1665 AURORA CT, Aurora, CO 80045-2517
- **Phone:** (720) 848-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699648196) · Data from the CMS NPPES public registry.