Amy Rackard, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN9328791 Issued in FL

Practice address

1620 Nearing Hills Cir
Chipley, FL 32428-5938

Phone

(850) 326-2694

NPI assigned

Jun 13, 2018

Last updated

May 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Amy Rackard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pancare of Florida, IncGroup PAC ID 3476574229, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Panama City, FL
  • NPI 1366456287
  Care Compare group NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Defuniak Springs, FL
  • NPI 1790746535
  NPD
• Florida Department of Health

  dba Citrus County Health Department

  • Public Health or Welfare Agency
  • Lecanto, FL
  • NPI 1164493664
  NPD (past)
• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Bristol, FL
  • NPI 1275346108
  NPD (past)
• Pancare of Florida, Inc

  • Federally Qualified Health Center (FQHC)
  • Bonifay, FL
  • NPI 1578376406
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1306339320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 NEARING HILLS CIR",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285938",
            "telephone_number": "850-326-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NEARING HILLS CIR",
            "city": "CHIPLEY",
            "state": "FL",
            "postal_code": "324285938",
            "telephone_number": "850-326-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACKARD",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9328791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RACKARD",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diviya Sampatrai Patel, PHARMD
• Chad Pomes
• Annette Griffin Porter, M.D.
• Precision Eye Care LTD
• Alesha Patton Pridgen
• Stephine Ramsey
• Bert Ryan Reitsma, PT
• Renal Treatment Centers-Southeast, LP. (Chipley Dialysis)
• Restore Therapy and Wellness, Inc. (Coastal Fitness & Rehablilitation Center)
• Carla S Rhynes-Campbell, RCSWI

• Family Nurse Practitioner in Chipley, FL
• Providers in Chipley, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.

Verify at the official NPI Registry.