Active NPI
Amie Nichole Peterson, ARNP
- Nurse Practitioner
- St. Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN2629902
- Practice address
- Your Health Org. of Florida
1301 Plantation Island Dr. Unit 303B
St. Augustine, FL 32080 - Phone
- (800) 491-0909
- Fax
- (239) 343-9218
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 2629902 | FL | |
| Nurse Practitioner | 363L00000X | APRN2629902 | FL | Primary |
Addresses
Primary practice location
Your Health Org. of Florida
1301 Plantation Island Dr. Unit 303B
St. Augustine, FL 32080
Mailing address
SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone (800) 491-0909
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN2629902 | FL | MD | Nurse Practitioner |
| 2629902 | FL | MD | Critical Care Medicine Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Lee Memorial Health System | Nurse Practitioner | Past | Accepting new patients |
| Lee Health System Inc | Past | Accepting new patients |
Locations
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
15201 N Cleveland Ave
Ste 1010
North Fort Myers, FL 33903
Phone (833) 674-2500
3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108
19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535
1301 Plantation Island Dr S
Ste 303B
Saint Augustine, FL 32080
Phone (803) 457-5129
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1114225745
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1760791107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SC HOUSE CALLS INC.",
"address_2": "111 DOCTORS CIR.",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "800-491-0909",
"fax_number": "239-424-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YOUR HEALTH ORG. OF FLORIDA",
"address_2": "1301 PLANTATION ISLAND DR. UNIT 303B",
"city": "ST. AUGUSTINE",
"state": "FL",
"postal_code": "32080",
"telephone_number": "800-491-0909",
"fax_number": "239-343-9218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "AMIE",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "FL",
"license": "2629902",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN2629902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.