Individual provider Active NPI

Amy Marie Wybenga, CRNP

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1093896540
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11024394 Issued in FL
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51533030OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20060310000165 AL Practitioner - Nurse Practitioner 9537176896 Reassigns benefits to 2 organizations
I20241213003641 FL Practitioner - Nurse Practitioner 9537176896 Reassigns benefits to 1 organization

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
Afc Florida, LLCGroup PAC ID 2769616762, 22 clinicians

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 100Reported as group
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. 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
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11024394FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Oct 1, 2022 Accepting new patients
American Family Care, LLC CurrentSince Aug 11, 2024 Accepting new patients
American Family Care, LLC CurrentSince Aug 11, 2024 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 CurrentSince Oct 1, 2022 Accepting new patients
Afc Florida, LLC CurrentSince Sep 15, 2024 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.

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

Verify at the official NPI Registry.