MS. AMANDA K VAN VLIET
NPI 1013382365
Nurse Practitioner in Jacksonville, FL

Active since December 10, 2015PECOS Enrolled
7406 FULLERTON ST, JACKSONVILLE, FL 32256(904) 802-6800(904) 249-9764 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Jul 29, 2021, May 22, 2018 and 3 more (6 updates tracked since 2015).

About Ms. Amanda K Van Vliet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. AMANDA K VAN VLIET (NPI 1013382365) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN9343112) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013382365
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. AMANDA K VAN VLIET
Location Address7406 FULLERTON STJacksonville, FL 32256-3552
Mailing Address7406 Fullerton St Ste 105Jacksonville, FL 32256-3588 · (904) 802-6800 · Fax (904) 824-2353
Fax(904) 249-9764
Sole ProprietorNo
Enumeration DateDecember 10, 2015
Last NPPES UpdateMarch 17, 20256 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1013382365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9343112
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7406 FULLERTON ST, Jacksonville, FL 32256

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Amanda K Van Vliet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
7406 FULLERTON ST
JACKSONVILLE, FL 32256
Registered Nurse
7406 FULLERTON ST, SUITE 200
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
7406 FULLERTON ST
JACKSONVILLE, FL 32256
Nurse Practitioner (Primary Care)
7406 FULLERTON ST
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
7406 FULLERTON ST, SUITE 2000
JACKSONVILLE, FL 32256
Nurse Practitioner
7406 FULLERTON ST, STE 105
JACKSONVILLE, FL 32256
Nurse Practitioner (Psychiatric/Mental Health)
7406 FULLERTON ST
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
7406 FULLERTON ST
JACKSONVILLE, FL 32256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Van Vliet's NPI number?

The NPI number for Amanda Van Vliet is 1013382365. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Amanda Van Vliet located?

Amanda Van Vliet practices at 7406 Fullerton St, Jacksonville, FL 32256. The listed phone number is (904) 802-6800.

What is Amanda Van Vliet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Van Vliet enrolled in Medicare?

Yes. Amanda Van Vliet is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Van Vliet accept?

Health plans from Oscar Health Maintenance Organization of Florida list Amanda Van Vliet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Van Vliet was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.