Garrett Levi Ambuehl, AGPCNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11025517 Issued in FL

Practice address

1401 Riverplace Blvd Apt 1602
Jacksonville, FL 32207-9095

Phone

(618) 267-0160

NPI assigned

Jul 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dover Shores Family Practice

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417683707
  Medicare reassignment Care Compare group NPD
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1891476719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD APT 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079095",
            "telephone_number": "618-267-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVERPLACE BLVD APT 1602",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079095",
            "telephone_number": "618-267-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBUEHL",
        "first_name": "GARRETT",
        "middle_name": "LEVI",
        "name_prefix": "Mr.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11025517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amazing Milestones Behavioral Health Services, LLC
• Amazing Spine Care
• Ambassador Health Services, Inc
• Emma Ambler, LMHC
• Michel Ambroise
• Ambulance Service, Inc.
• Ambulatory Care Specialists of Jacksonville LLC
• Amd Counseling & Consulting, LLC
• Amed Care Connection.Org LLC
• Lourice A Ameen, MSN, APRN, FNP-C

• Primary Care Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.

Verify at the official NPI Registry.