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

Amanda M Mixon, PA-C

Individual provider Medical Physician Assistant · NPI 1174795017

Amanda M Mixon, PA-C is a Physician Assistant in Longmont, Colorado. Qualified in 2007, 19 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
19
Licensed in
CO
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1715 Iron Horse Dr Ste 100
Longmont, CO 80501-9617
Phone: (720) 494-4700
Fax: (720) 494-4706
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)

  • 1840 Folsom St Ste 105, Boulder, CO 80302-5712 — (720) 494-4700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0002872 (CO)

Record details

NPI number1174795017
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 1, 2008
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Longmont