Active NPI
Amanda E Fox, ARNP
- Family Nurse Practitioner
- Panama City Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9265114
- Practice address
- 11801 Panama City Beach Pkwy
Panama City Beach, FL 32407-2509 - Phone
- (866) 389-2727
- Fax
- (850) 230-6433
- NPI assigned
- Feb 14, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9265114 | FL | Primary |
Addresses
Primary practice location
11801 Panama City Beach Pkwy
Panama City Beach, FL 32407-2509
Mailing address
11801 Panama City Beach Pkwy
Panama City Beach, FL 32407-2509
Phone (866) 389-2727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023274000 | Medicaid | FL | |
| JF797Z | Other | FL | MEDICARE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180202001762 | FL | Practitioner - Nurse Practitioner | 4981840527 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic LLC
Practice addresses (Care Compare)
11801 Panama City Beach Pkwy
Panama City Beach, FL 32407-2509
Phone (866) 389-2727
121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (866) 389-2727
7599 W Sand Lake Rd
Orlando, FL 32819-5109
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9265114 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Chaim Gitelis DO PC | Current | Accepting new patients | |
| Mac Wound Solutions LLC | Past | Accepting new patients | |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
333 W 41st St
Ste 414
Miami Beach, FL 33140
Phone (305) 538-8998
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
4562 E Highway 20
Niceville, FL 32578
Phone (334) 832-4338
11801 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 230-6023
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616
33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 4
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.
-
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- Orangeburg, NY
- NPI 1821875543
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680307200000",
"number": "1346580198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11801 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072509",
"telephone_number": "866-389-2727",
"fax_number": "850-230-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 PANAMA CITY BEACH PKWY",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324072509",
"telephone_number": "866-389-2727",
"fax_number": "850-230-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2023-04-01",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9265114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023274000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "JF797Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.