Amanda Fender, PA-C
Amanda Fender, PA-C is a Physician Assistant in Lake City, Colorado. Qualified in 2024, 2 years ago. Practices with Taos Professional Services, LLC, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New Mexico.
- Years since qualifying
- 2
- Licensed in
- CO, NM
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
700 N Henson StLake City, CO 81235-5134
Phone: (970) 944-2331
Fax: (970) 944-2320
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1329 Gusdorf Rd, Taos, NM 87571-6282 — (575) 737-3415
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA.0009156 (CO) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA2024-0101 (NM) |
Record details
| NPI number | 1932899598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 8, 2023 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Taos Professional Services,Llc — 30 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |