Active NPI
Amanda Leigh Imperato, MSN, APRN, AGACNP-BC
- Acute Care Nurse Practitioner
- Fort Walton Beach, FL
National Provider Identifier
1245103134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11045036
- Practice address
- 350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699 - Phone
- (978) 771-1719
- NPI assigned
- Sep 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11045036 | FL | Primary |
Addresses
Primary practice location
350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Mailing address
350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Phone (850) 374-3125
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
Enrollment records 1
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
Practice addresses (Care Compare)
350 G Racetrack Rd NW
Homeport Neurosurgery and Spine
Fort Walton Beach, FL 32547-1699
Phone (850) 374-3125
Hospital & facility affiliations
- HCA Florida Fort Walton-Destin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11045036 | FL | MD | Acute Care Nurse Practitioner |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Fort Walton Beach, FL
- NPI 1932887676
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Walton Beach, FL
- NPI 1639128820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1245103134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350G RACETRACK RD NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471699",
"telephone_number": "850-374-3125",
"fax_number": "850-226-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350G RACETRACK RD NW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325471699",
"telephone_number": "978-771-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMPERATO",
"first_name": "AMANDA",
"middle_name": "LEIGH",
"credential": "MSN, APRN, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11045036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.