Individual provider Active NPI

Amanda Marie Pache, APRN

  • Family Nurse Practitioner
  • Apalachicola, FL
National Provider Identifier
1366064180
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007009 Issued in FL
Practice address
137 12TH St
Apalachicola, FL 32320-2110
Phone
(850) 653-1525
Fax
(850) 653-1546
NPI assigned
May 14, 2020
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 11007009 FL Primary

Addresses

Primary practice location

137 12TH St
Apalachicola, FL 32320-2110

Mailing address

PO Box 277
Sopchoppy, FL 32358-0277
Phone (352) 682-2078

Other practice location 1

110 NE 5th St
Carrabelle, FL 32322-3529
Phone (850) 697-2345

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
I20200706000117 FL Practitioner - Nurse Practitioner 7517380819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 NE 5TH St
Carrabelle, FL 32322-3529
Phone (850) 697-2345

135 Ave G
Apalachicola, FL 32320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007009FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin County Board of County Commissioners CurrentSince Apr 1, 2024 Accepting new patients
Franklin County Board of County Commissioners CurrentSince Apr 1, 2024 Accepting new patients
Franklin County Board of County Commissioners Past Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

137 12th St
Apalachicola, FL 32320
Phone (850) 653-1212

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: amanda.pache.1@12709.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1366064180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "SOPCHOPPY",
            "state": "FL",
            "postal_code": "323580277",
            "telephone_number": "352-682-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 12TH ST",
            "city": "APALACHICOLA",
            "state": "FL",
            "postal_code": "323202110",
            "telephone_number": "850-653-1525",
            "fax_number": "850-653-1546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 NE 5th St",
            "address_purpose": "LOCATION",
            "city": "Carrabelle",
            "state": "FL",
            "postal_code": "323223529",
            "country_code": "US",
            "telephone_number": "850-697-2345",
            "fax_number": "580-697-2367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHE",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachicola, FL

Sources for this page

Verify at the official NPI Registry.