Individual provider Active NPI

Amanda Kristen Gersch, PA-C

  • Medical Physician Assistant
  • Stuart, FL
National Provider Identifier
1144520925
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9105493 Issued in FL
Practice address
1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512
Phone
(772) 419-0560
Fax
(772) 403-2379
NPI assigned
Oct 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105493 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512

Mailing address

1050 SE Monterey Rd
Suite 101
Stuart, FL 34994-4512
Phone (772) 419-0560

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
I20110207000367 FL Practitioner - Physician Assistant 9032399100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141

322 SW Pine Island Rd
Fawcett Memorial
Cape Coral, FL 33991-2057
Phone (941) 249-6858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Sep 10, 2020 Accepting new patients
FL-I Medical Services LLC CurrentSince Nov 27, 2020 Accepting new patients
FL-I Medical Services, LLC CurrentSince Nov 27, 2020 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

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

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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.

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": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1144520925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-419-0560",
            "fax_number": "772-403-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-419-0560",
            "fax_number": "772-403-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSCH",
        "first_name": "AMANDA",
        "middle_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.