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

Amanda Panepento, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457902868

Amanda Panepento, PA is a Physician Assistant in Longmont, Colorado. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

220 E Rogers Rd
Longmont, CO 80501-6027
Phone: (303) 697-2583
Fax: (303) 682-6419
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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.0006718 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457902868
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2019
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address1364 Clifton Rd Ne, Atlanta, GA 30322-1059

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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