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

Amanda Fraser Wallace, MD

Individual provider Anesthesiology Physician · NPI 1174750707

Amanda Fraser Wallace, MD is a Pain Management in Golden, Colorado. Qualified in 2009, 17 years ago. Practices with Yampa Valley Medical Center, a 126-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

755 Heritage Rd
Golden, CO 80401-3600
Phone: (303) 277-0700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 888 S Auto Mall Rd, Bloomington, IN 47401-5430 — (812) 353-2700

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 0052096 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence DR0052096 (CO)

Record details

NPI number1174750707
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2009
Last updated in NPPESJanuary 7, 2019

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Yampa Valley Medical Center — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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