Ms Amanda K Van Vliet, FNP-BC - Medicare Nurse Practitioner in Jacksonville Beach, FL

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Ms Amanda K Van Vliet, FNP-BC is a medicare enrolled "Nurse Practitioner" in Jacksonville Beach, Florida. Her current practice location is 1370 13th Ave S Ste 215, Jacksonville Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 249-1041.

Ms Amanda K Van Vliet is licensed to practice in Florida (license number ARNP9313112) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013382365.

Contact Information

Ms Amanda K Van Vliet, FNP-BC
1370 13th Ave S Ste 215,
Jacksonville Beach, FL 32250
(904) 249-1041
(904) 249-9764

Map and Direction




Provider's Profile

Full NameMs Amanda K Van Vliet
GenderFemale
SpecialityNurse Practitioner
Location1370 13th Ave S Ste 215, Jacksonville Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013382365
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 07/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6507123239
  • Enrollment ID: I20171205000504

Medical Identifiers

Medical identifiers for Ms Amanda K Van Vliet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013382365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 9343112 (Florida)Secondary
363LF0000XNurse Practitioner - Family 9343112 (Florida)Secondary
363L00000XNurse Practitioner ARNP9313112 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Amanda K Van Vliet allows following entities to bill medicare on her behalf.
Entity NameMpp Infusion Center Of Kissimmee, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407408883
PECOS PAC ID: 3577995653
Enrollment ID: O20191111001758
Entity NameIvx Health Of Florida Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821622432
PECOS PAC ID: 8426470626
Enrollment ID: O20200616003261
Entity NameMpp Infusion Center Of Suncoast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104428812
PECOS PAC ID: 8628485786
Enrollment ID: O20210408000110

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amanda K Van Vliet is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Amanda K Van Vliet, FNP-BC
208 Southpark Cir E,
Saint Augustine, FL 32086-5135

Ph: (904) 824-2201		Ms Amanda K Van Vliet, FNP-BC
1370 13th Ave S Ste 215,
Jacksonville Beach, FL 32250

Ph: (904) 249-1041

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville Beach, FL

Nicole Thomas, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1891 Beach Blvd, Suite 200, Jacksonville Beach, FL 32250
Phone: 904-249-3743    Fax: 904-249-2047
Glynnis Marie Winfree, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1351 13th Ave S Ste 120, Jacksonville Beach, FL 32250
Phone: 904-223-3321    Fax: 904-223-2169
Kenneth C Ryan, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1370 13th Ave S Ste 215, Jacksonville Beach, FL 32250
Phone: 904-249-1041    Fax: 904-249-9764
Mrs. Erica Francisca Andrade, APRN FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1350 13th Ave S, Jacksonville Beach, FL 32250
Phone: 904-982-0885    
Ms. Michelle M Krawczyk, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250
Phone: 904-997-3800    Fax: 904-997-9899
Madison Nicole Kissel, DNP-FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1313 Beach Blvd Ste C, Jacksonville Beach, FL 32250
Phone: 904-955-1027    
Ms. Shirley Lynn Fabrizio, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1375 Roberts Dr, Suite 103, Jacksonville Beach, FL 32250
Phone: 904-997-3800    Fax: 904-997-3899

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.