Individual provider Active NPI

Amber Jane Siegel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1003371642
Registry record updated Oct 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11001385 Issued in FL
Practice address
1510 E Colonial Dr Ste 230
Orlando, FL 32803-4734
Phone
(315) 286-9748
Fax
(407) 550-1329
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000102 FL Practitioner - Nurse Practitioner 8325389034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11001385FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ajh Complete Care LLC Primary Care CurrentSince Nov 14, 2023 Accepting new patients
Ajh Complete Care LLC Psychiatric/Mental Health Current Accepting new patients
Crew Health PastSince Sep 1, 2020 Accepting new patients

Locations

1510 E Colonial Dr
Ste 230
Orlando, FL 32803
Phone (407) 257-8100

Interoperability endpoints

  • Direct secure messaging: amber.siegel.1@28378.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22364/brand/1/csg/1/fhir/r4

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 11001385 FL
Adult Health Nurse Practitioner 363LA2200X 11001385 FL
Primary Care Nurse Practitioner 363LP2300X 11001385 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11001385 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1510 E Colonial Dr Ste 230
Orlando, FL 32803-4734

Mailing address

1510 E Colonial Dr Ste 230
Orlando, FL 32803-4734
Phone (407) 410-4201

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
11001385OtherI DO NOT HAVE ANY OTHER NUMBER
104856000MedicaidFL

Other names 1

NPPES NPI Registry
  • Amber J Siegel Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 11, 2025.

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760140800000",
    "number": "1003371642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E COLONIAL DR STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034734",
            "telephone_number": "407-410-4201",
            "fax_number": "407-550-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E COLONIAL DR STE 230",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034734",
            "telephone_number": "315-286-9748",
            "fax_number": "407-550-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "AMBER",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2025-10-11",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "11001385",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11001385",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11001385",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11001385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I DO NOT HAVE ANY OTHER NUMBER",
            "identifier": "11001385",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104856000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "SIEGEL",
            "middle_name": "J",
            "credential": "AGNP-C, PMHNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.