Active NPI
Amy Marie Wybenga, CRNP
- Family Nurse Practitioner
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11024394
- Practice address
- 15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409 - Phone
- (850) 588-3589
- Fax
- (850) 588-3593
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11024394 | FL | Primary |
Addresses
Primary practice location
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409
Mailing address
89 Suwannee Dr
Inlet Beach, FL 32461-8689
Phone (334) 233-1815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533030 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413-5409
Phone (850) 588-3589
4713 Hwy 90
Pace, FL 32571-1403
Phone (850) 304-0694
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.83 of 100
- Quality
- 61.85
- Improvement activities
- 40
- Cost
- 76.05
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.
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024394 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Health Care Authority for Baptist Health, an Affiliate of Uabhs | Current | Accepting new patients | |
| Afc Florida, LLC | Current | Accepting new patients |
Locations
6631 Park Dr
Daphne, AL 36526
Phone (251) 626-5700
2445 Murphy Mill Rd
Dothan, AL 36303
Phone (334) 564-8255
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211
301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159
2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390
645 McQueen Smith Rd N
Ste 309
Prattville, AL 36066
Phone (334) 358-2010
4713 Highway 90
Pace, FL 32571
Phone (850) 304-0694
15415 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 588-3589
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.
-
- Urgent Care Clinic/Center
- Pace, FL
- NPI 1205268208
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Family Medicine Physician
- Vestavia Hills, AL
- NPI 1265210645
-
- Primary Care Clinic/Center
- Prattville, AL
- NPI 1841508785
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1033534524
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1093896540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 SUWANNEE DR",
"city": "INLET BEACH",
"state": "FL",
"postal_code": "324618689",
"telephone_number": "334-233-1815",
"fax_number": "850-588-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15415 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324135409",
"telephone_number": "850-588-3589",
"fax_number": "850-588-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYBENGA",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-07-17",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11024394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51533030",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.