Individual provider Active NPI

Amanda Lynne Mascoe, APRN

  • Family Nurse Practitioner
  • Nokomis, FL
National Provider Identifier
1285202010
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013715 Issued in FL
Practice address
2639 Curry LN
Nokomis, FL 34275-4903
Phone
(941) 244-5089
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11013715 FL Primary

Addresses

Primary practice location

2639 Curry LN
Nokomis, FL 34275-4903

Mailing address

18316 Murdock Cir Unit 108
Port Charlotte, FL 33948-1029
Phone (941) 629-3500

Other practice location 1

5114 NE County Road 660
Arcadia, FL 34266-5792
Phone (941) 769-6688

Other names 1

  • Amanda Lynne Riley 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
I20210723000062 FL Practitioner - Nurse Practitioner 5991108334 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Health & Medi-Weight Loss LLC CurrentSince Apr 9, 2024 Accepting new patients
Arcadia Medical Associates PA CurrentSince Jun 1, 2025 Accepting new patients
SMH Physician Services Inc CurrentSince Aug 22, 2022 Accepting new patients
David a Butler DO LLC CurrentSince May 1, 2024 Accepting new patients
Connexis Medical Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Arcadia Medical Associates PA CurrentSince Jun 1, 2025 Accepting new patients

Locations

425 Nursing Home Dr
Arcadia, FL 34266
Phone (863) 494-9991

2400 Harbor Blvd
Ste 4
Pt Charlotte, FL 33952
Phone (941) 273-3611

18316 Murdock Cir
Unit 108
Pt Charlotte, FL 33948
Phone (239) 229-4270

3005 Caring Way
Ste 1
Pt Charlotte, FL 33952
Phone (941) 249-8493

5955 Rand Blvd
Sarasota, FL 34238
Phone (941) 552-7500

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

Organizations & group practices 6

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1285202010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18316 MURDOCK CIR UNIT 108",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481029",
            "telephone_number": "941-629-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CURRY LN",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342754903",
            "telephone_number": "941-244-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5114 NE County Road 660",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342665792",
            "country_code": "US",
            "telephone_number": "941-769-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCOE",
        "first_name": "AMANDA",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RILEY",
            "middle_name": "LYNNE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nokomis, FL

Sources for this page

Verify at the official NPI Registry.