Individual provider Active NPI

Andrew Amicarelli, DO

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1013571157
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS19963 Issued in FL
Practice address
100 Newell Dr
Gainesville, FL 32611-1912
Phone
(352) 294-4900
NPI assigned
Apr 24, 2019
Last updated
May 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X OS19963 FL Primary

Addresses

Primary practice location

100 Newell Dr
Gainesville, FL 32611-1912

Mailing address

PO Box 100256 1149 Newell Dr L4-100
Gainesville, FL 32611-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250527002074 FL Practitioner - Psychiatry 5597097949 Reassigns benefits to 3 organizations
I20251029001787 NY Practitioner - Psychiatry 5597097949 Reassigns benefits to 1 organization
I20251205000070 NC Practitioner - Psychiatry 5597097949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

181 Kenwood Ave
Suite 10
Oneida, NY 13421-2802
Phone 8328694818235

3541 Randolph Rd
Suite 102W
Charlotte, NC 28211-1081
Phone 8328694818235

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS19963FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatry CurrentSince May 16, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince May 16, 2025 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

322 Lamar Ave
#220
Charlotte, NC 28204

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

330 Billingsley Rd
Ste 204
Charlotte, NC 28211
Phone (704) 365-9871

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

181 Kenwood Ave
Ste 10
Oneida, NY 13421

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Networks

  • FL HMO
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • FL PPO
  • Freedom Health HMO Network
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • FL HMO C-SNP

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1013571157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100256 1149 NEWELL DR L4-100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326110001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEWELL DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326111912",
            "telephone_number": "352-294-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICARELLI",
        "first_name": "ANDREW",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS19963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.