Individual provider Active NPI

Amy Bell Boehm, FNP-C

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1184070880
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9448970 Issued in FL
Practice address
1141 SE Indian St Ste 101
Stuart, FL 34997-5764
Phone
(772) 221-7789
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9448970 FL
Family Nurse Practitioner 363LF0000X 9448970 FL Primary

Addresses

Primary practice location

1141 SE Indian St Ste 101
Stuart, FL 34997-5764

Mailing address

475 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone (772) 800-3031

Other identifiers 1

IdentifierTypeStateIssuer
9448970OtherFLFL ARNP LICENSE

Other names 1

  • Amy Bell Paine Former name

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
I20180905003587 FL Practitioner - Nurse Practitioner 3870888068 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9448970FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard B Weisberg PA CurrentSince Sep 1, 2021 Accepting new patients
Retinovitreous Associates LTD PastSince Dec 3, 2020 Accepting new patients

Locations

1141 SE Indian St
Stuart, FL 34997
Phone (772) 221-7789

1141 SE Indian St
Ste 101
Stuart, FL 34997
Phone (772) 221-7789

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHCGBD/Endpoint/JHCGBD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1184070880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-800-3031",
            "fax_number": "772-807-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SE INDIAN ST STE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349975764",
            "telephone_number": "772-221-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "AMY",
        "middle_name": "BELL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9448970",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9448970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL ARNP LICENSE",
            "identifier": "9448970",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PAINE",
            "middle_name": "BELL",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.