Active NPI
Amanda Williams Sellers, ARNP
- Family Nurse Practitioner
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9310532
- Practice address
- 1858 Mayo Dr
Tavares, FL 32778 - Phone
- (352) 383-5200
- Fax
- (352) 383-3534
- NPI assigned
- Dec 13, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9310532 | FL | Primary |
Addresses
Primary practice location
1858 Mayo Dr
Tavares, FL 32778
Mailing address
1858 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 383-5200
Other practice location 1
60 Outlook St
Umatilla, FL 32784-9597
Phone (352) 267-2958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI, MT, NH, TN, OH, IN, IA, TX, NY, DC, MD, IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 14
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10735 Bogie Lake Rd
Commerce Township, MI 48382-2426
Phone (248) 609-1377
14041 Pennsylvania Rd
Riverview, MI 48193-7508
Phone (734) 284-7200
200 Pleasant St
Concord, NH 03301-2505
Phone (603) 724-6100
239 Pleasant St
Concord, NH 03301-7504
Phone (603) 224-6561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9310532 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi Post Acute Specialists PC | Family | Current | Accepting new patients |
| Androscoggin Valley Hospital Inc | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Current | Accepting new patients | |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Androscoggin Valley Hospital, Inc. | Current | Accepting new patients | |
| Ca Post Acute Specialists PC | Current | Accepting new patients | |
| In Post Acute Specialists, PC | Current | Accepting new patients | |
| Lake Gastroenterology Associates LLC | Current | Accepting new patients | |
| Theoria Medical | Current | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients |
Locations (25 of 43)
1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400
620 S Lake St
Ste 5
Leesburg, FL 34748
Phone (352) 383-5200
10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000
1858 Mayo Dr
Tavares, FL 32778
Phone (352) 383-5200
910 Old Camp Rd
Ste 152
The Villages, FL 32162
Phone (352) 383-5200
2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594
155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437
4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221
326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131
109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038
1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273
200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
34225 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 477-7373
500 W Genesee St
Frankenmuth, MI 48734
Phone (989) 652-6101
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133
879 E Michigan Ave
Marshall, MI 49068
Phone (269) 781-4251
220 S Hughston St
Mc Bain, MI 49657
Phone (231) 825-2990
9317 Vienna Rd
Montrose, MI 48457
Phone (810) 639-6170
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441
Interoperability endpoints
- amanda.sellers.1@25664.direct.athenahealth.com
- amanda.sellers.1@22307.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
DC, FL, MD, NH, NY, OH, TN
-
- Gastroenterology Physician
- Tavares, FL
- NPI 1972801827
-
- General Practice Physician
- Berlin, NH
- NPI 1679526644
-
- Critical Access Hospital
- Berlin, NH
- NPI 1386680593
-
- Family Medicine Physician
- Redding, CA
- NPI 1710401302
-
- Internal Medicine Physician
- Saint John, IN
- NPI 1629584396
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
-
- Medicare Defined Swing Bed Hospital Unit
- Berlin, NH
- NPI 1134266679
-
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1831633692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1858 MAYO DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784320",
"telephone_number": "352-383-5200",
"fax_number": "352-383-3534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1858 MAYO DR",
"city": "TAVARES",
"state": "FL",
"postal_code": "32778",
"telephone_number": "352-383-5200",
"fax_number": "352-383-3534"
}
],
"practiceLocations": [
{
"address_1": "60 Outlook St",
"address_purpose": "LOCATION",
"city": "Umatilla",
"state": "FL",
"postal_code": "327849597",
"country_code": "US",
"telephone_number": "352-267-2958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLERS",
"first_name": "AMANDA",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-13",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9310532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.