Amanda Bartell, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

P03128 Issued in FL

Practice address

465 Town Plaza Ave Ste a
Ponte Vedra, FL 32081-5164

Phone

(904) 236-5023

Fax

(904) 236-5073

NPI assigned

Dec 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Foot and Ankle Center PAGroup PAC ID 5890886428, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• North Florida Foot & Ankle Center PA

  • Foot & Ankle Surgery Podiatrist
  • Ponte Vedra, FL
  • NPI 1548305923
  Medicare reassignment Care Compare group NPD
• Ankle & Foot Center of Tampa Bay

  • Podiatrist
  • Tampa, FL
  • NPI 1265419964
  NPD (past)

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

• St Lukes - St Vincents Healthcare

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1396926747
  Care Compare affiliation

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1366429862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 TOWN PLAZA AVE STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815164",
            "telephone_number": "904-236-5023",
            "fax_number": "904-236-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 TOWN PLAZA AVE STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320815164",
            "telephone_number": "904-236-5023",
            "fax_number": "904-236-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTELL",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P03128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Primary Care Inc
• Baptist Primary Care, Inc.
• Baptist Primary Care, Inc.
• Barbara Dulaney Bishop, Ed.D, LMHC, P.a.
• Rochelle Bardis, APRN
• Beaches Education & Counseling
• Bella Cesca International, LLC
• Rebecca Bertone, APRN
• Alonzo Carlos Blackmon, D.D.S, M.S.
• Blue Water Dental of St. Johns

• Podiatrist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.