Individual provider Active NPI

Amanda Brooke Mills, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972101137
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009496 Issued in FL
Practice address
611 E Adams St
Jacksonville, FL 32202-2847
Phone
(904) 394-1660
NPI assigned
Oct 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 11009496 FL Primary

Addresses

Primary practice location

611 E Adams St
Jacksonville, FL 32202-2847

Mailing address

611 E Adams St
Jacksonville, FL 32202-2847
Phone (904) 394-1660

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
I20250414003453 FL Practitioner - Nurse Practitioner 5496270282 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009496FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Feb 2, 2025 Accepting new patients
Im Sulzbacher Center for the Homeless, Inc CurrentSince Feb 2, 2025 Accepting new patients

Locations

611 E Adams St
Jacksonville, FL 32202
Phone (904) 359-0457

850 6th Ave S
Ste 500
Jacksonville Beach, FL 32250
Phone (904) 224-3550

850 6th Ave S
Jacksonville Beach, FL 32250
Phone (904) 224-3550

Interoperability endpoints

  • Direct secure messaging: amanda.mills.1@21075.direct.athenahealth.com

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": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1972101137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022847",
            "telephone_number": "904-394-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322022847",
            "telephone_number": "904-394-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.