Individual provider Active NPI

Amanda Springer Moore, NP-C

  • Adult Health Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1033496286
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9330680 Issued in FL
Practice address
4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone
(850) 416-7619
Fax
(850) 416-7753
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9330680 FL Primary

Addresses

Primary practice location

4451 Bayou Blvd
Pensacola, FL 32503-2601

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, FL, VA, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140707000206 DC Practitioner - Nurse Practitioner 1254556392 Reassigns benefits to 1 organization
I20191015003300 FL Practitioner - Nurse Practitioner 1254556392 Reassigns benefits to 1 organization
I20221114002675 VA Practitioner - Nurse Practitioner 1254556392 Reassigns benefits to 3 organizations
I20231109003556 CA Practitioner - Nurse Practitioner 1254556392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9330680FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Virginia LLC CurrentSince Apr 1, 2022 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2023 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Sep 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC CurrentSince Apr 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2023 Accepting new patients

Locations

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 7

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1033496286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 BAYOU BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032601",
            "telephone_number": "850-416-7619",
            "fax_number": "850-416-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "AMANDA",
        "middle_name": "SPRINGER",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9330680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.