Amanda Faye Adkins, ARNP-C
Individual provider Active NPI Nurse Practitioner · Port Orange, FL
NPI 1104007376 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1104007376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- ARNP9194440 (FL)
- Practice address
- 735 Dunlawton Ave
Port Orange, FL 32127-9226 - Phone
- (888) 808-0488
- Fax
- (386) 872-4232
- NPI assigned
- Nov 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventhealth Senior Care Inc
D.H. Medical, LLC
Practice addresses (Care Compare)
1595 N Williamson Blvd
Daytona Beach, FL 32117-7214
Phone (386) 259-6026
226 N Nova Rd
Suite 184
Ormond Beach, FL 32174-5124
Phone (888) 808-0488
401 Towne Ctr Blvd
Sanford, FL 32771-7407
Phone (833) 323-6724
900 Hope Way
Altamonte Springs, FL 32714-1502
Phone (407) 776-6130
926 Saxon Blvd
Orange City, FL 32763-8313
Phone (386) 917-7261
Hospital & facility affiliations
- Trilogy Home Healthcare
- Adventhealth Daytona Beach
- Adventhealth Fish Memorial
- Adventhealth Deland
- Adventhealth New Smyrna Beach
- Halifax Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008003227 | FL | Practitioner - Nurse Practitioner | 3375843303 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9194440 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.H. Medical, LLC | Current |
Accepting new patients | |
| Adventhealth Senior Care Inc | Current |
Accepting new patients |
Locations
226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489
290 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 615-6642
735 Dunlawton Ave
Port Orange, FL 32127
Phone (386) 872-5190
401 Towne Center Blvd
Sanford, FL 32771
Phone (407) 200-0547
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9194440 | FL | Yes |
Addresses
Primary practice location
735 Dunlawton Ave
Port Orange, FL 32127-9226
Mailing address
735 Dunlawton Ave
Port Orange, FL 32127-9226
Phone (888) 808-0488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363L00000X | Other | FL | TAXONOMY |
Other providers in Port Orange, FL
- Erica Elizabeth Adams
- Kelly L Adams
- Patricia Ann Adams
- Tracy Adams
- Binash Bhattarai Adhikari
- Advanced Dental Inc.
- Advanced Endoscopy Centers LLC
- Advanced Gastroenterology
- Advanced Gastroenterology Health Care Centers
- Advanced Pain Management Inc
All providers in Port Orange, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.