Active NPI
Amber E. Newell, DO
- Emergency Medicine Physician
- Jacksonville, FL
National Provider Identifier
1356630529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 070472
- Practice address
- 820 Prudential Dr
Jacksonville, FL 32207-8210 - Phone
- (904) 396-5682
- NPI assigned
- Mar 28, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 070472 | GA | Primary |
| Emergency Medicine Physician | 207P00000X | OS12296 | FL |
Addresses
Primary practice location
820 Prudential Dr
Jacksonville, FL 32207-8210
Mailing address
820 Prudential Dr
Jacksonville, FL 32207-8210
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12296 | FL | MD | Emergency Medicine Physician |
| 070472 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Trustees of Columbia University Department of Rehabilitation Medicine | Past | Accepting new patients |
Locations
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
820 Prudential Dr
Ste 713
Jacksonville, FL 32207
Phone (800) 936-5996
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1285686675
-
- Emergency Medicine Physician
- Brunswick, GA
- NPI 1477001972
-
- Rehabilitation Practitioner
- New York, NY
- NPI 1245364850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1356630529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 PRUDENTIAL DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078210",
"telephone_number": "904-396-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWELL",
"first_name": "AMBER",
"middle_name": "E.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "070472",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS12296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.