Individual provider Active NPI

Amanda Halle Maloney, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1154217768
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040286 Issued in FL
Practice address
13241 Bartram Park Blvd Unit 2601
Jacksonville, FL 32258-5219
Phone
(904) 298-1800
Fax
(904) 298-1802
NPI assigned
Jun 18, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 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 APRN11040286 FL Primary

Addresses

Primary practice location

13241 Bartram Park Blvd Unit 2601
Jacksonville, FL 32258-5219

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 298-1800

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
I20250708004705 FL Practitioner - Nurse Practitioner 0446764872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

13241 Bartram Park Blvd
Unit 2601
Jacksonville, FL 32258-5219
Phone (904) 298-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joan D Oleary MD PL CurrentSince Aug 20, 2025 Accepting new patients
Borland Groover Clinic, PA CurrentSince Aug 20, 2025 Accepting new patients

Locations

13241 Bartram Park Blvd
Unit 209
Jacksonville, FL 32258
Phone (904) 224-5437

13241 Bartram Park Blvd
Unit 2601
Jacksonville, FL 32258
Phone (904) 298-1800

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

1555 Kingsley Ave
Ste 401
Orange Park, FL 32073
Phone (904) 278-3100

Interoperability endpoints

  • Direct secure messaging: amanda.maloney.p1@direct.bgclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1154217768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566004",
            "telephone_number": "904-298-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585219",
            "telephone_number": "904-298-1800",
            "fax_number": "904-298-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "AMANDA",
        "middle_name": "HALLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.