| Mrs Amie Nichole Peterson, ARNP | |
|
Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 | |
| (800) 491-0909 | |
| (239) 343-9218 |
| Full Name | Mrs Amie Nichole Peterson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | Your Health Org. Of Florida, St. Augustine, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760791107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 2629902 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN2629902 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Estero, FL | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Your Health Primary Care Of Florida, Llc | 0143754135 | 15 |
| Millennium Physician Group Llc | 9830244433 | 866 |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amie Nichole Peterson, ARNP Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Ph: (800) 491-0909 | Mrs Amie Nichole Peterson, ARNP Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 Ph: (800) 491-0909 |
Mr. Larry Robert Little, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Your Health Of Fl, Llc, 1301 Plantation Island Dr. Unite 303b, St. Augustine, FL 32080 Phone: 800-491-0909 | |
Megan Elizabeth Green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 Phone: 800-491-0909 Fax: 855-866-8710 | |
Karen Stover, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Health Park Blvd, St. Augustine, FL 32086 Phone: 904-826-3469 Fax: 904-808-4608 | |
Shameika Favors-stalling, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Your Health Org. Of Florida, 1301 Plantation Island Dr. Unit 303b, St. Augustine, FL 32080 Phone: 800-491-0909 | |
Traci Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2703 North Ponce Deleon Blvd, St. Augustine, FL 32084 Phone: 904-824-8328 | |
Ms. Rosemary Bates, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1955 Ponce De Leon Blvd, St. Augustine, FL 32086 Phone: 904-829-8954 | |
Maryann Hickey, RN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2703 Ponce Deleon, Cvs Minute Clinic, St. Augustine, FL 32084 Phone: 186-638-9272 Fax: 401-652-9787 |