Individual provider Active NPI

Amanda Nicole Parker, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville Beach, FL
National Provider Identifier
1659932721
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002862 Issued in FL
Practice address
1107 1St St S Apt J
Jacksonville Beach, FL 32250-6539
Phone
(407) 761-3905
NPI assigned
Jun 27, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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 APRN11002862 FL Primary

Addresses

Primary practice location

1107 1St St S Apt J
Jacksonville Beach, FL 32250-6539

Mailing address

1107 1St St S Apt J
Jacksonville Beach, FL 32250-6539
Phone (407) 761-3905

Other names 1

  • Amanda Nicole Clifton Former name

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
I20191003000169 FL Practitioner - Nurse Practitioner 3173853249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians IncGroup PAC ID 7911811435, 105 clinicians

Practice addresses (Care Compare)

1250 S 18TH St
202 BMC Nassau Wound
Fernandina Beach, FL 32034-4729
Phone (904) 202-2000

14534 Old Saint Augustine Rd
Suite 3110
Jacksonville, FL 32258-2617
Phone (904) 396-5682

1747 Baptist Clay Dr
Suite 250
Fleming Island, FL 32003-8502
Phone (904) 516-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Inc CurrentSince Aug 30, 2019 Accepting new patients
HCR Manorcare Medical Services of Florida LLC CurrentSince Oct 15, 2019 Accepting new patients
Emergency Physicians Inc CurrentSince Aug 30, 2019 Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

8495 Normandy Blvd
Jacksonville, FL 32221
Phone (570) 352-3063

570 Wells Rd
Orange Park, FL 32073
Phone (570) 352-3063

Hcr Manorcare Medical Serv
Columbus, OH 43260

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

Interoperability endpoints

  • Direct secure messaging: aparker37776@baptisthealthsystemjacksonville.direct-ci.com

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1659932721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 1ST ST S APT J",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506539",
            "telephone_number": "407-761-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 1ST ST S APT J",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506539",
            "telephone_number": "407-761-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CLIFTON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.