Individual provider Active NPI

Amanda Bracero

  • Primary Care Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1639979644
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F03250129 Issued in FL
Practice address
2001 Glenridge Way Apt 71
Winter Park, FL 32792-5441
Phone
(407) 575-5780
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F03250129 FL Primary

Addresses

Primary practice location

2001 Glenridge Way Apt 71
Winter Park, FL 32792-5441

Mailing address

2001 Glenridge Way Apt 71
Winter Park, FL 32792-5441
Phone (407) 575-5780

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
I20260224001523 FL Practitioner - Nurse Practitioner 9537640990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11550 University Blvd
Orlando, FL 32817-2100
Phone (407) 384-0080

1520 W Orange Blossom Trail
Adventhealth Centra Care Apopka
Apopka, FL 32712-2639
Phone (407) 703-4662

250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810

2540 Lee Rd
Winter Park, FL 32789-1746
Phone (407) 629-9281

2609 S Orange Ave
Orlando, FL 32806-4547
Phone (407) 203-0656

2715 E Semoran Blvd
Adventhealth Centra Care Hunt Club
Apopka, FL 32703-5802
Phone (321) 248-7230

2948 W Lake Mary Blvd
Adventhealth Centra Care Lake Mary
Lake Mary, FL 32746-3416
Phone (407) 732-7478

3005 Daniels Rd
Winter Garden, FL 34787-7002
Phone (407) 654-8186

3099 Aloma Ave
Winter Park, FL 32792-3702
Phone (407) 951-6302

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412

509 S Semoran Blvd
Orlando, FL 32807-4334
Phone (407) 200-2300

5810 S Semoran Blvd
Adventhealth Centra Care Conway
Orlando, FL 32822-4812
Phone (407) 207-0601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03250129FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Adventist Health System /Sunbelt, Inc. CurrentSince Jan 15, 2026 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1639979644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GLENRIDGE WAY APT 71",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925441",
            "telephone_number": "407-575-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 GLENRIDGE WAY APT 71",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925441",
            "telephone_number": "407-575-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "F03250129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.