Individual provider Active NPI

Amanda E Pruett, D.O.

  • General Practice Physician
  • Jupiter, FL
National Provider Identifier
1730493701
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS14343 Issued in FL
Practice address
125 W Indiantown Rd Ste 103
Jupiter, FL 33458-3539
Phone
(561) 849-4468
Fax
(561) 972-4885
NPI assigned
Aug 2, 2010
Last updated
Oct 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS14343 FL Primary

Addresses

Primary practice location

125 W Indiantown Rd Ste 103
Jupiter, FL 33458-3539

Mailing address

125 W Indiantown Rd Ste 103
Jupiter, FL 33458-3539
Phone (561) 849-4468

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124001274 FL Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 0345522546 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc Single Specialty CurrentSince Dec 20, 2016 Accepting new patients
Mecnb, LLC Single Specialty CurrentSince Aug 14, 2023 Accepting new patients
MD Now Medical Centers Inc General Practice CurrentSince Dec 20, 2016 Accepting new patients
Mecnb, LLC Single Specialty Current Accepting new patients
Florida Post Acute Care Clinicians, LLC Family Medicine CurrentSince Jul 6, 2020 Accepting new patients
Carewell Primary Care Same Day Access of Florida, PLLC Single Specialty Current Accepting new patients
Florida Post Acute Care Clinicians, LLC Single Specialty CurrentSince Jul 6, 2020 Accepting new patients
Mecnb, LLC Single Specialty CurrentSince Aug 14, 2023 Accepting new patients

Locations

5888 Blanding Blvd
Jacksonville, FL 32244
Phone (352) 514-8830

125 W Indiantown Rd
Ste 103
Jupiter, FL 33458
Phone (561) 748-7644

1270 SW Main Blvd
Lake City, FL 32025
Phone (386) 752-7900

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1780 N Jefferson Hwy
Monticello, FL 32344
Phone (800) 708-4008

12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2720 10th Ave N
Ste 100
Palm Springs, FL 33461
Phone (561) 540-4446

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHHDD/Endpoint/FBHHDD

Organizations & group practices 8

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1730493701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583539",
            "telephone_number": "561-849-4468",
            "fax_number": "561-972-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD STE 103",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583539",
            "telephone_number": "561-849-4468",
            "fax_number": "561-972-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUETT",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS14343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.