Amy Nelson, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9281600 Issued in FL

Practice address

74785 US Highway 111 Ste 100
Indian Wells, CA 92210-7129

Phone

(760) 776-8989

NPI assigned

May 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amy Fletcher Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Halo Medical Group

  • Diagnostic Radiology Physician
  • Indian Wells, CA
  • NPI 1467506451

  FL

  Medicare reassignment NPD
• Precision Physician Group LLC

  • Nurse Practitioner
  • Fleming Island, FL
  • NPI 1780489617
  Medicare reassignment
• Halo Breast Care Center Professional Corporation

  • Diagnostic Radiology Physician
  • Chico, CA
  • NPI 1497452502
  NPD (past)
• E Plus Florida Comprehensive Cancer Care, LLC

  • Hematology & Oncology Physician
  • Gainesville, FL
  • NPI 1831116276
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1942528104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 100",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-776-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9281600",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9281600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111042100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FLETCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alondra Lopez
• Claudia Vanesa Lopez, LE, PMUA
• Matthew D. Smith, D.C., a Chiropractic Corporation
• Karina Venegas Moreno
• Jeannie Marie Needham, M.D.
• George Leonard Nelson, MD
• Keith Daniel Nesbitt, MFT
• Jimmy Nguyen, RPH
• Jimmy Quoc Nam Nguyen
• Tran Nguyen

• Nurse Practitioner in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.