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

Individual provider Medical Physician Assistant · NPI 1689429581

Sydney Waller, PA is a Physician Assistant in Aurora, Colorado. Graduated from University of Colorado School of Medicine, Aurora in 2025, 1 year ago. Works from 2 locations. Licensed in Colorado.

Years since qualifying
1
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CO
In the registry since
2024
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

13123 E 16th Ave
Aurora, CO 80045-7106
Phone: (720) 777-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 — (303) 724-7963

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0009243 (CO)

Record details

NPI number1689429581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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