Individual provider Active NPI

Amy Wang, APRN

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1720699655
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008610 Issued in FL
Practice address
2202 State Ave Ste 303B
Panama City, FL 32405-4590
Phone
(850) 769-1462
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 11008610 FL Primary

Addresses

Primary practice location

2202 State Ave Ste 303B
Panama City, FL 32405-4590

Mailing address

2202 State Ave Ste 303B
Panama City, FL 32405-4590
Phone (850) 769-1462

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
I20200921000732 FL Practitioner - Nurse Practitioner 6608294855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gulf Coast Medical Center Primary Care LLCGroup PAC ID 0648288589, 4 clinicians

Practice addresses (Care Compare)

1800 Jenks Ave
Panama City, FL 32405-4642
Phone (850) 784-2645

2202 State Ave
Suite 207
Panama City, FL 32405-4582
Phone (850) 769-1462

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Panama City, FL, CCN 107275
  • Suncrest Omni Home health agency, Lynn Haven, FL, CCN 108120
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score
97.44 of 100Reported as individual
Quality
94.89
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008610FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Medical Center Primary Care LLC CurrentSince Mar 15, 2021 Accepting new patients
Gulf Coast Multispeciality Services, LLC PastSince Nov 24, 2024 Accepting new patients

Locations

2202 State Ave
Ste 303B
Panama City, FL 32405
Phone (850) 769-1463

1800 Jenks Ave
Panama City, FL 32405
Phone (850) 769-3191

2202 State Ave
Ste 207
Panama City, FL 32405
Phone (850) 784-1856

16181 Panama City Beach Pkwy
Panama City Beach, FL 32413
Phone (850) 249-1000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: amy.wang@hca5.eclinicaldirectplus.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.

Hospital & facility affiliations 4

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1720699655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 303B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-769-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 303B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054590",
            "telephone_number": "850-769-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.