Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Grace Kiessel, PA-C

Individual provider Physician Assistant · NPI 1669929063

Amanda Grace Kiessel, PA-C is a Physician Assistant in Durango, Colorado. Qualified in 2016, 10 years ago. Practices with Durango Urgent Care LLC, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Colorado and New Mexico.

Years since qualifying
10
Licensed in
AZ, CO, NM
In the registry since
2016
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2577 Main Ave
Durango, CO 81301-5919
Phone: (970) 247-8382
Fax: (970) 259-4403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1010 Three Springs Blvd, Durango, CO 81301-8296 — (970) 247-4300
  • 604 S Rio Grande Ave, Aztec, NM 87410-2260 — (505) 334-2664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0005179 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA2017-0102 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 6501 (AZ)

Record details

NPI number1669929063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2016
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address2577 Main Ave, Durango, CO 81301-5919

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Durango Urgent Care Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Durango