Individual provider Active NPI

Amanda E Fox, ARNP

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1346580198
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9265114 Issued in FL
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

Updated by the provider on Apr 1, 2023

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 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

IdentifierTypeStateIssuer
023274000MedicaidFL
JF797ZOtherFLMEDICARE

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
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 LLCGroup PAC ID 6709850241, 576 clinicians

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

LicenseStateTypeSpecialty
9265114FLMDFamily Nurse Practitioner

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 7, 2021 Accepting new patients
Chaim Gitelis DO PC CurrentSince Dec 29, 2024 Accepting new patients
Mac Wound Solutions LLC PastSince Sep 17, 2023 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.

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

Verify at the official NPI Registry.