Individual provider Active NPI

Amy M Williams, NP-C

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1861986440
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9489470 Issued in FL
Practice address
3101 N Davis Hwy
Pensacola, FL 32503-3558
Phone
(904) 468-7944
Fax
(877) 325-2623
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3012344 KY
Family Nurse Practitioner 363LF0000X APRN9489470 FL Primary

Addresses

Primary practice location

3101 N Davis Hwy
Pensacola, FL 32503-3558

Mailing address

6339 Madison Dr
Gulf Shores, AL 36542-2683
Phone (502) 802-9760

Other names 1

  • Miss Amy Michelle Riley Former name

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
I20190711000784 FL Practitioner - Nurse Practitioner 7517292675

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Escambia Community Clinics IncGroup PAC ID 9638165806, 36 clinicians

Practice addresses (Care Compare)

2315 W Jackson St
Pensacola, FL 32505-7552
Phone (850) 436-4630

6671 Caroline St
Milton, FL 32570-4781
Phone (850) 891-9433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9489470FLMDFamily Nurse Practitioner
3012344KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia Community Clinics Inc Current Accepting new patients
Overflow Health Alliance Inc PastSince May 7, 2024 Accepting new patients

Locations

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1861986440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6339 MADISON DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422683",
            "telephone_number": "502-802-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033558",
            "telephone_number": "904-468-7944",
            "fax_number": "877-325-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AMY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012344",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9489470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RILEY",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.