Individual provider Active NPI

Sarah Amarillo, PA-C

  • Physician Assistant
  • Saint Johns, FL
National Provider Identifier
1437867504
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116772 Issued in FL
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

Updated by the provider on Apr 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230123002370 FL Practitioner - Physician Assistant 0143691568 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
St Vincent'S Full Service Urgent Care, LLCGroup PAC ID 4183879364, 29 clinicians
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

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 Hospital, Jacksonville, FL, CCN 100040
  • Ascension St Vincent'S St Johns County Hospital, St. Johns, FL, CCN 100361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: sarah.amarillo.2@8967.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.