Individual provider Active NPI

Amanda Jill Handley, CRNA

  • Certified Registered Nurse Anesthetist
  • Destin, FL
National Provider Identifier
1912146374
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11027698 Issued in FL
Practice address
1225 Airport Rd
Destin, FL 32541-2909
Phone
(850) 650-7606
NPI assigned
Feb 9, 2009
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 898759 TX
Certified Registered Nurse Anesthetist 367500000X 1-097084 AL
Certified Registered Nurse Anesthetist 367500000X APRN11027698 FL Primary

Addresses

Primary practice location

1225 Airport Rd
Destin, FL 32541-2909

Mailing address

PO Box 6923
Miramar Beach, FL 32550-1006
Phone (205) 907-1265

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-9087
Phone (205) 907-1265

Other identifiers 1

IdentifierTypeStateIssuer
003534000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091021000851 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254478340 Reassigns benefits to 3 organizations
I20160726001190 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254478340 Reassigns benefits to 2 organizations
I20161102002914 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254478340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Destin Anesthesia, LLCGroup PAC ID 9830158500, 20 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

1225 Airport Rd
Destin, FL 32541-2909
Phone 8506507606103

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-097084ALMDCertified Registered Nurse Anesthetist
898759TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 28, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2016 Accepting new patients
Ambulatory Anesthesia & Pain Medicine, P.C. CurrentSince Jun 1, 2016 Accepting new patients
Anesthesiologists Associated PC CurrentSince Mar 7, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 7, 2016 Accepting new patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2024 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Mar 7, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

2621 19th St S
Homewood, AL 35209
Phone (205) 271-8019

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

1225 Airport Rd
Destin, FL 32541
Phone (850) 650-7606

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825

9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1912146374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6923",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325501006",
            "telephone_number": "205-907-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412909",
            "telephone_number": "850-650-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909087",
            "country_code": "US",
            "telephone_number": "205-907-1265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "AMANDA",
        "middle_name": "JILL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "898759",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-097084",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11027698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003534000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.