Active NPI
Amanda Marie Crosson, APRN
- Gerontology Nurse Practitioner
- North Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11001934
- Practice address
- 5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678 - Phone
- (941) 408-0500
- Fax
- (941) 496-8558
- NPI assigned
- Jul 1, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | RN322320 | GA | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11001934 | FL | Primary |
Addresses
Primary practice location
5500 Pinebrook Rd Ste 202
North Venice, FL 34275-3678
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other practice location 1
901 Tamiami Trl S Ste A2
Venice, FL 34285-3668
Phone (941) 484-3531
Other practice location 2
714 Doctors Dr
Englewood, FL 34223-3992
Phone (941) 460-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116411100 | Medicaid | FL |
Other names 1
- Amanda Griffith
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
714 Doctors Dr
Englewood, FL 34223-3992
Phone (941) 460-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001934 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
Locations
714 Doctors Dr
Fl Cancer
Englewood, FL 34223
Phone (941) 460-1300
714 Doctors Dr
Englewood, FL 34223
Phone (941) 460-1300
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
5500 Pinebrook Rd
Ste 202
North Venice, FL 34275
Phone (941) 408-0500
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
836 Sunset Lake Blvd
Ste 101
Venice, FL 34292
Phone (941) 408-0500
901 Tamiami Trl S
Ste A2
Venice, FL 34285
Phone (941) 484-3531
Networks
- Freedom Health HMO Network
Organizations & group practices 2
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1568024537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 PINEBROOK RD STE 202",
"city": "NORTH VENICE",
"state": "FL",
"postal_code": "342753678",
"telephone_number": "941-408-0500",
"fax_number": "941-496-8558"
}
],
"practiceLocations": [
{
"address_1": "901 Tamiami Trl S Ste A2",
"address_purpose": "LOCATION",
"city": "Venice",
"state": "FL",
"postal_code": "342853668",
"country_code": "US",
"telephone_number": "941-484-3531",
"fax_number": "941-486-1701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "714 Doctors Dr",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "FL",
"postal_code": "342233992",
"country_code": "US",
"telephone_number": "941-460-1300",
"fax_number": "866-504-3674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROSSON",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "GA",
"license": "RN322320",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11001934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116411100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "GRIFFITH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.