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

Amanda Fraser Wallace, MD

Individual provider Anesthesiology Physician · NPI 1174750707

Amanda Fraser Wallace, MD is a Pain Management in Golden, Colorado. Qualified in 2009, 17 years ago. Practices with Yampa Valley Medical Center, a 126-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

755 Heritage Rd
Golden, CO 80401-3600
Phone: (303) 277-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 888 S Auto Mall Rd, Bloomington, IN 47401-5430 — (812) 353-2700

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 0052096 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence DR0052096 (CO)

Record details

NPI number1174750707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJanuary 7, 2019
Mailing address1818 E 7th Ave, Denver, CO 80218-3645

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Yampa Valley Medical Center — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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