Individual provider Active NPI

Amanda Vincent, APRN, FNP-BC

  • Family Nurse Practitioner
  • Pace, FL
National Provider Identifier
1629714985
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019628 Issued in FL
Practice address
4286 Woodbine Rd Ste a
Pace, FL 32571-8770
Phone
(850) 902-0475
Fax
(833) 605-4061
NPI assigned
May 10, 2022
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 11019628 FL Primary

Addresses

Primary practice location

4286 Woodbine Rd Ste a
Pace, FL 32571-8770

Mailing address

4286 Woodbine Rd Ste a
Pace, FL 32571-8770
Phone (850) 902-0475

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
I20220627003762 FL Practitioner - Nurse Practitioner 4688053283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
49.22 of 100Reported as group
Quality
8.06
Improvement activities
40
Cost
90.69

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019628FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America, LLC Current Accepting new patients
Cep America LLC CurrentSince Mar 13, 2024 Accepting new patients
Santa Rosa Hma Physician Management, LLC CurrentSince Apr 1, 2025 Accepting new patients
Cep America LLC CurrentSince Mar 13, 2024 Accepting new patients
App of Florida HM, LLC CurrentSince Dec 6, 2022 Accepting new patients
Augustine Emergency Physicians LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

4264 Avalon Blvd
Milton, FL 32583
Phone (850) 623-9654

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

7334 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-2337

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

5595 Woodbine Rd
Pace, FL 32571
Phone (850) 981-7746

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1629714985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 WOODBINE RD STE A",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718770",
            "telephone_number": "850-902-0475",
            "fax_number": "833-605-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 WOODBINE RD STE A",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718770",
            "telephone_number": "850-902-0475",
            "fax_number": "833-605-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.