Individual provider Active NPI

Amanda Paige Wooten, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Bluffton, SC
National Provider Identifier
1013610864
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
27192 Issued in SC
Practice address
29 Plantation Park Dr Ste 203
Bluffton, SC 29910-9008
Phone
(854) 235-2830
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 27192 SC
Adult Health Nurse Practitioner 363LA2200X 27192 SC Primary

Addresses

Primary practice location

29 Plantation Park Dr Ste 203
Bluffton, SC 29910-9008

Mailing address

4 Ferebee CT
Bluffton, SC 29910-6569
Phone (336) 608-7522

Other names 1

  • Miss Amanda Paige Stuemke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240305004178 SC Practitioner - Nurse Practitioner 1254777840 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27192SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Medical PC CurrentSince Jan 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jan 25, 2026 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Jan 25, 2026 Accepting new patients

Locations

75 Baylor Dr
Ste 155
Bluffton, SC 29910
Phone (843) 706-2523

93 Main St
Hilton Head Island, SC 29926
Phone (843) 681-3777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHFHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1013610864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FEREBEE CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106569",
            "telephone_number": "336-608-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR STE 203",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109008",
            "telephone_number": "854-235-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "27192",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "27192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STUEMKE",
            "middle_name": "PAIGE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.