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

Amanda M Paolucci

Individual provider Adult Health Nurse Practitioner · NPI 1083592158

Amanda M Paolucci is a Nurse Practitioner in Boulder, Colorado. Qualified in 2022, 4 years ago. Practices with Long Term Care and Rehab Consultants, a 59-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2025

Practice location Address checks out

2113 Walnut St Apt 8
Boulder, CO 80302-4560
Phone: (248) 495-1609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN.10000844-NP (CO)

Record details

NPI number1083592158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address2113 Walnut St Apt 8, Boulder, CO 80302-4560

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Long Term Care And Rehab Consultants — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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