Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Dawn Waugh, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1184874919

Amanda Dawn Waugh, PHYSICIANASSISTANT is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2008, 18 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
18
Licensed in
CO
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1400 E Boulder St Ste 600
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2665 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 2665 (CO)

Record details

NPI number1184874919
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Colorado Springs