Individual provider Active NPI

Amy Lynn Montanaro, AGNP

  • Adult Health Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1194260018
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9474990 Issued in FL
Practice address
11380 SW Village Pkwy Ste 100
Port St Lucie, FL 34987-2389
Phone
(772) 301-6500
NPI assigned
Jan 2, 2017
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9474990 FL Primary

Addresses

Primary practice location

11380 SW Village Pkwy Ste 100
Port St Lucie, FL 34987-2389

Mailing address

11380 SW Village Pkwy Ste 100
Port St Lucie, FL 34987-2389
Phone (919) 433-6230

Other names 1

  • Amy Lynn Hand 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
I20220927000526 FL Practitioner - Nurse Practitioner 2264717628 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Solutions Inc Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Vitas Healthcare Corporation of Florida PastSince Jan 26, 2022 Accepting new patients

Locations

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

255 E 5th St
Ste 1050
Cincinnati, OH 45202

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": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1194260018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 SW VILLAGE PKWY STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872389",
            "telephone_number": "919-433-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 SW VILLAGE PKWY STE 100",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872389",
            "telephone_number": "772-301-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARO",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9474990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "HAND",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.