Individual provider Active NPI

Amanda Joy Hoelscher, APRN

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1285056531
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9283404 Issued in FL
Practice address
5985 49TH St N
St Petersburg, FL 33709-2111
Phone
(813) 966-5700
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 9283404 FL Primary

Addresses

Primary practice location

5985 49TH St N
St Petersburg, FL 33709-2111

Mailing address

5985 49TH St N
St Petersburg, FL 33709-2111
Phone (813) 966-5700

Other names 1

  • Amanda Joy Siekbert / Ruttle/Goodman 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016002047 FL Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 1153544770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9283404FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Longevity PLLC Current Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients

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": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1285056531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5985 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092111",
            "telephone_number": "813-966-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092111",
            "telephone_number": "813-966-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOELSCHER",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9283404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SIEKBERT / RUTTLE/GOODMAN",
            "middle_name": "JOY",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.