Individual provider Active NPI

Amanda Nicole Mancino, APRN

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1487416608
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031218 Issued in FL
Practice address
1215 Kingsley Ave
Orange Park, FL 32073-4631
Phone
(904) 269-8922
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11031218 FL Primary

Addresses

Primary practice location

1215 Kingsley Ave
Orange Park, FL 32073-4631

Mailing address

8801 Ivymill PL N
Jacksonville, FL 32244-6315
Phone (954) 806-7890

Other practice location 1

PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-0411

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
I20240307000030 FL Practitioner - Nurse Practitioner 2860838380 Reassigns benefits to 3 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
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

1215 Kingsley Ave
Orange Park, FL 32073-4631
Phone (732) 719-5039

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031218FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Jan 15, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 13, 2024 Accepting new patients
Mana Health Partners PA CurrentSince Jan 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 13, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 15, 2026 Accepting new patients

Locations

227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1215 Kingsley Ave
Orange Park, FL 32073
Phone (904) 269-8922

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Organizations & group practices 6

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1487416608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 IVYMILL PL N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446315",
            "telephone_number": "954-806-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734631",
            "telephone_number": "904-269-8922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 44008",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322314008",
            "country_code": "US",
            "telephone_number": "904-244-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINO",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.