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

Amanda Ileene Stack, NP

Individual provider Pediatric Nurse Practitioner · NPI 1699648196

Amanda Ileene Stack, NP is a Nurse Practitioner in Aurora, Colorado. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2025
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1665 Aurora Ct
Aurora, CO 80045-2517
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13123 E 16th Ave, Aurora, CO 80045-7106 — (720) 777-1234

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence APN.1001191-NP (CO)

Record details

NPI number1699648196
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 29, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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