Individual provider Active NPI

Amy Christine Federico, NP

  • Family Nurse Practitioner
  • Palm Coast, FL
National Provider Identifier
1427159128
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018415 Issued in FL
Practice address
84 Pinnacles Dr Ste 400
Palm Coast, FL 32164-2324
Phone
(386) 256-1969
NPI assigned
Sep 26, 2006
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11018415 FL Primary
Family Nurse Practitioner 363LF0000X 230163 MA

Addresses

Primary practice location

84 Pinnacles Dr Ste 400
Palm Coast, FL 32164-2324

Mailing address

84 Pinnacles Dr Ste 400
Palm Coast, FL 32164-2324
Phone (386) 256-1969

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
I20220518003065 FL Practitioner - Nurse Practitioner 8224022231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Dermatology and Cosmetic Services PAGroup PAC ID 3274769153, 5 clinicians

Practice addresses (Care Compare)

865 Saxon Blvd
Orange City, FL 32763-8204
Phone (386) 256-1969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.61 of 100Reported as group
Quality
69.21
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230163MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Dermatology and Cosmetic Services, P.a. CurrentSince Apr 26, 2022 Accepting new patients
Neil Sandhu PA CurrentSince Jun 23, 2023 Accepting new patients
Skin Dermatology and Cosmetic Services, P.a. CurrentSince Apr 26, 2022 Accepting new patients
Nosky P.a. CurrentSince Mar 1, 2023 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients
Michael J Freeman MD PA PastSince Sep 1, 2023 Accepting new patients
Coastal Medical Associates Past Accepting new patients
Compass Medical PC Past Accepting new patients

Locations

1157 Miranda Ln
Kissimmee, FL 34741
Phone (407) 483-4950

2300 Maitland Center Pkwy
#A
Maitland, FL 32751
Phone (386) 628-3376

504 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 256-1969

258 Treemonte Dr
Orange City, FL 32763
Phone (386) 628-3376

258 Treemonte Dr
Ste 258
Orange City, FL 32763
Phone (386) 628-3376

258 Treemonte Dr
Unit 258
Orange City, FL 32763
Phone (888) 578-3188

865 Saxon Blvd
Orange City, FL 32763
Phone (386) 256-1969

84 Pinnacles Dr
Ste 400
Palm Coast, FL 32164
Phone (386) 256-1969

512 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 483-4950

13798 Speer Island Dr
Windermere, FL 34786
Phone (386) 256-1969

Organizations & group practices 8

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 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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1427159128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PINNACLES DR STE 400",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642324",
            "telephone_number": "386-256-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PINNACLES DR STE 400",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642324",
            "telephone_number": "386-256-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018415",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "230163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.