Individual provider Active NPI

Amy Connell, APRN

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1871183301
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010326 Issued in FL
Practice address
2233 Park Ave Ste 403&405
Orange Park, FL 32073-5570
Phone
(904) 688-3000
Fax
(904) 688-3001
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 APRN11010326 FL Primary

Addresses

Primary practice location

2233 Park Ave Ste 403&405
Orange Park, FL 32073-5570

Mailing address

23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698

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
I20210125000835 FL Practitioner - Nurse Practitioner 0547674046 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010326FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Trenton Medical Center, Inc CurrentSince Feb 1, 2021 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090

410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484

23343 NW County Road 236
High Springs, FL 32643

23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

2233 Park Ave
Ste 403405
Orange Park, FL 32073
Phone (904) 688-3000

2021 Professional Center Dr
Orange Park, FL 32073
Phone (386) 454-0698

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

Organizations & group practices 3

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1871183301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23476 NW 186TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430673",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 PARK AVE STE 403&405",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735570",
            "telephone_number": "904-688-3000",
            "fax_number": "904-688-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.