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

Amanda Marie Mock, PA-C

Individual provider Physician Assistant · NPI 1528531894

Amanda Marie Mock, PA-C is a Physician Assistant in Loveland, Colorado. Qualified in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
8
Licensed in
CO, PA
In the registry since
2019
Specialties on file
2
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

2500 Rocky Mountain Ave Ste 2200
Loveland, CO 80538-9004
Phone: (970) 203-7250
Fax: (970) 619-6094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009361 (CO)
Physician Assistant Taxonomy 363A00000X · Licence MA060435 (PA)

Record details

NPI number1528531894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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