Active NPI
Sarah Amarillo, PA-C
- Physician Assistant
- Saint Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9116772
- Practice address
- 2001 County Road 210 W # 101
Saint Johns, FL 32259-2063 - Phone
- (904) 450-8401
- NPI assigned
- Nov 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116772 | FL | Primary |
Addresses
Primary practice location
2001 County Road 210 W # 101
Saint Johns, FL 32259-2063
Mailing address
301 Cloverbank Rd
St Augustine, FL 32092-9362
Phone (561) 631-0640
Other practice location 1
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10058 Baymeadows Rd
Suite B
Jacksonville, FL 32256-7177
Phone (904) 450-8020
10503 San Jose Blvd
Jacksonville, FL 32257-6295
Phone (904) 450-6700
11985 Atlantic Blvd
Jacksonville, FL 32225-2919
Phone (904) 642-1217
30 Epic Blvd
Suite 100
Saint Augustine, FL 32086-6603
Phone (904) 217-3881
4888 Town Ctr Pkwy
Unit 107
Jacksonville, FL 32246-8315
Phone (904) 800-1735
7720 Merrill Rd
Jacksonville, FL 32277-3715
Phone (904) 916-0580
7963 Normandy Blvd
Jacksonville, FL 32221-6640
Phone (904) 786-0440
Hospital & facility affiliations
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S St Johns County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- sarah.amarillo.2@8967.direct.athenahealth.com
- sarah.amarillo.3@8967.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1447771670
-
- Occupational Medicine Clinic/Center
- Jacksonville, FL
- NPI 1750672051
-
- Dermatology Physician
- Jacksonville, FL
- NPI 1255744793
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1023612827
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680307200000",
"number": "1437867504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CLOVERBANK RD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320929362",
"telephone_number": "561-631-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 COUNTY ROAD 210 W # 101",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322592063",
"telephone_number": "904-450-8401"
}
],
"practiceLocations": [
{
"address_1": "1580 Santa Barbara Blvd",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321596827",
"country_code": "US",
"telephone_number": "352-259-2159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMARILLO",
"first_name": "SARAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2023-04-01",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2023; 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.