Individual provider Active NPI

Amanda Salzburg

  • Family Nurse Practitioner
  • Yulee, FL
National Provider Identifier
1598243297
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9269246 Issued in FL
Practice address
76011 William Burgess Blvd
Yulee, FL 32097-5428
Phone
(904) 427-8584
Fax
(904) 427-8596
NPI assigned
Aug 3, 2018
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 258235 GA
Family Nurse Practitioner 363LF0000X ARNP9269246 FL Primary

Addresses

Primary practice location

76011 William Burgess Blvd
Yulee, FL 32097-5428

Mailing address

PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 427-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190520000391 FL Practitioner - Nurse Practitioner 1456694264 Reassigns benefits to 1 organization
I20191002002339 GA Practitioner - Nurse Practitioner 1456694264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone (904) 427-7777

51 Lindsey LN
Kingsland, GA 31548-6836
Phone (912) 576-2344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9269246FLMDFamily Nurse Practitioner
258235GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 9, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 29, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

3122 New Berlin Rd
Jacksonville, FL 32226
Phone (904) 633-0340

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

76011 William Burgess Blvd
Yulee, FL 32097
Phone (352) 273-5801

201 Lakeshore Pt
Ste B
Saint Marys, GA 31558
Phone (912) 729-6821

Interoperability endpoints

  • Direct secure messaging: asalzburg236928@direct.shands.ufl.edu

Organizations & group practices 3

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 2

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1598243297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-427-8584",
            "fax_number": "904-427-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76011 WILLIAM BURGESS BLVD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320975428",
            "telephone_number": "904-427-8584",
            "fax_number": "904-427-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBURG",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "258235",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9269246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

Verify at the official NPI Registry.