Individual provider Active NPI

Amy E. Miller, APRN

  • Nurse Practitioner
  • Port St Joe, FL
National Provider Identifier
1265984900
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9429453 Issued in FL
Practice address
1019 Palm Blvd
Port St Joe, FL 32456-2133
Phone
(850) 296-0318
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9429453 FL Primary

Addresses

Primary practice location

1019 Palm Blvd
Port St Joe, FL 32456-2133

Mailing address

1019 Palm Blvd
Port St Joe, FL 32456-2133
Phone (229) 460-9776

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
I20161122001961 FL Practitioner - Nurse Practitioner 2769761311 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9429453FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Apr 25, 2024 Accepting new patients
New Horizon Primary Care, LLC CurrentSince Nov 1, 2021 Accepting new patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Altea Medical Florida PLLC CurrentSince Aug 10, 2025 Accepting new patients
Hannahan Comprehensive Pain Care PC PastSince Nov 1, 2021 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 301
Gilbert, AZ 85297

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

7225 Boca del Mar Dr
Boca Raton, FL 33433
Phone (561) 362-9644

1104 N Main St
Bushnell, FL 33513
Phone (352) 568-8777

549 Sky Harbor Dr
Bldg 31
Clearwater, FL 33759
Phone (727) 724-6800

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1010 Carpenters Way
Lakeland, FL 33809
Phone (813) 505-8889

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

190 NE 191st St
North Miami Beach, FL 33179
Phone (305) 651-9690

2475 Garrison Ave
Port St Joe, FL 32456
Phone (850) 227-1276

202 W Highway 98
Port St Joe, FL 32456
Phone (251) 599-6445

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

16200 S Jog Rd
West Delray Beach, FL 33446
Phone (561) 362-9644

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • Direct secure messaging: amy.miller.1@9582.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1265984900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PALM BLVD",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324562133",
            "telephone_number": "229-460-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 PALM BLVD",
            "city": "PORT ST JOE",
            "state": "FL",
            "postal_code": "324562133",
            "telephone_number": "850-296-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9429453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Joe, FL

Sources for this page

Verify at the official NPI Registry.