Individual provider Active NPI

Amy Elizabeth Prince, APRN

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1699345751
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11013959 Issued in FL
Practice address
5305 Greenwood Ave Ste 204
West Palm Beach, FL 33407-2449
Phone
(561) 882-6060
Fax
(561) 845-2297
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11013959 FL Primary

Addresses

Primary practice location

5305 Greenwood Ave Ste 204
West Palm Beach, FL 33407-2449

Mailing address

6230 Riverwalk LN Unit 2
Jupiter, FL 33458-7902
Phone (561) 253-5067

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
I20220503002458 FL Practitioner - Nurse Practitioner 0547657991 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Milbauer MD PA CurrentSince Jan 7, 2022 Accepting new patients
Advanced Cardiovascular Consultants LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

6894 Lake Worth Rd
Ste 104
Lake Worth, FL 33467
Phone (561) 642-2800

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

5305 Greenwood Ave
Ste 204
West Palm Beach, FL 33407
Phone (561) 832-8886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amy.prince.1@18542.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1699345751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 RIVERWALK LN UNIT 2",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587902",
            "telephone_number": "561-253-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072449",
            "telephone_number": "561-882-6060",
            "fax_number": "561-845-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11013959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.