Individual provider Active NPI

Amy Swan, AGNP-C

  • Adult Health Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1376314401
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11030543 Issued in FL
Practice address
275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529
Phone
(321) 799-7777
Fax
(321) 799-1550
NPI assigned
Jan 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9294106 FL
Adult Health Nurse Practitioner 363LA2200X 11030543 FL Primary
Gerontology Nurse Practitioner 363LG0600X 11030543 FL

Addresses

Primary practice location

275 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3529

Mailing address

11030 SE 83Rd Ter
Newberry, FL 32669-7416
Phone (352) 474-4116

Other identifiers 1

IdentifierTypeStateIssuer
11030543OtherFLAPRN

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
I20240601000221 FL Practitioner - Nurse Practitioner 4082156385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8960

3045 Columbia Blvd
Suite A108
Titusville, FL 32780-7864
Phone (321) 264-9176

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9294106FLMDRegistered Nurse
11030543FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiefland Medical Center LLC CurrentSince Nov 17, 2024 Accepting new patients
Florida Rehab Specialists, PLLC CurrentSince Apr 20, 2024 Accepting new patients

Locations

1113 NW 23rd Ave
Chiefland, FL 32626
Phone (352) 493-9500

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

901 NW 8th Ave
Ste D6
Gainesville, FL 32601

300 NW 1st Ave
Williston, FL 32696
Phone (352) 528-3561

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.

Hospital & facility affiliations 1

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": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1376314401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SE 83RD TER",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326697416",
            "telephone_number": "352-474-4116",
            "fax_number": "347-851-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W COCOA BEACH CSWY",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313529",
            "telephone_number": "321-799-7777",
            "fax_number": "321-799-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAN",
        "first_name": "AMY",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9294106",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11030543",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11030543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "11030543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.