Individual provider Active NPI

Amanda Connerton, APRN-CNP

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1033904065
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11039007 Issued in FL
Practice address
11701 Lake Victoria Gardens Ave Ste 3108
Palm Beach Gardens, FL 33410-2705
Phone
(203) 278-0473
NPI assigned
Apr 10, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11039007 FL Primary

Addresses

Primary practice location

11701 Lake Victoria Gardens Ave Ste 3108
Palm Beach Gardens, FL 33410-2705

Mailing address

11701 Lake Victoria Gardens Ave Ste 3108
Palm Beach Gardens, FL 33410-2705
Phone (203) 278-0473

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
I20250725003583 FL Practitioner - Nurse Practitioner 0648787549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialtycare Surgical Assist, LLCGroup PAC ID 3274446497, 33 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100

13001 Southern Blvd
Loxahatchee, FL 33470-9203
Phone (561) 798-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11039007FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 26, 2026 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 26, 2026 Accepting new patients
Specialtycare Surgical Assist, LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

3 Maryland Farms
Ste 200
Brentwood, TN 37027
Phone (615) 346-8733

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1033904065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LAKE VICTORIA GARDENS AVE STE 3108",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102705",
            "telephone_number": "203-278-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LAKE VICTORIA GARDENS AVE STE 3108",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102705",
            "telephone_number": "203-278-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNERTON",
        "first_name": "AMANDA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11039007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.