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

Q: 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.

Q: What is Amanda Van Vliet's specialty?

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

Q: 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 19 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.

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: November 01, 2026.

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

On this page

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

Phone(904) 802-6800

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Van Vliet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vitas Solutions Inc

300 mi

Hospice and Palliative Medicine

3170 EXECUTIVE WAY
Miramar, FL 33025

Reassigned Medicare billing, Florida enrollment
119 clinicians in this Medicare group

NPI 1861666497 (877) 868-4827

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 13

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

DANITA STEVENSON DIXON ARNP

Nurse Practitioner (Family)

7406 FULLERTON ST
JACKSONVILLE, FL 32256

Duval County (813) 521-3233

JENNIFER KRAMER

Registered Nurse

7406 FULLERTON ST, SUITE 200
JACKSONVILLE, FL 32256

Duval County (904) 538-0440

EVELYN CHINONYE ONYEJI DNP

Nurse Practitioner (Family)

7406 FULLERTON ST
JACKSONVILLE, FL 32256

Duval County (904) 538-0440

JIL THOMAS NP-C

Nurse Practitioner (Primary Care)

7406 FULLERTON ST
JACKSONVILLE, FL 32256

Duval County (813) 690-5274

MS. ALICIA F GRIFFIN ARNP

Nurse Practitioner (Family)

7406 FULLERTON ST, SUITE 2000
JACKSONVILLE, FL 32256

Duval County (904) 538-0440

VALERIE C BLATZ APRN

Nurse Practitioner

7406 FULLERTON ST, STE 105
JACKSONVILLE, FL 32256

Duval County (904) 802-6800

MRS. AMANDA LEA SHAFFER PMHNP-BC, MSN, RN

Nurse Practitioner (Psychiatric/Mental Health)

7406 FULLERTON ST
JACKSONVILLE, FL 32256

Duval County (904) 802-6800

MONICA PARDO MAYES APRN

Nurse Practitioner (Family)

7406 FULLERTON ST
JACKSONVILLE, FL 32256

Duval County (561) 876-8532

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.

Which organization bills Medicare for Amanda Van Vliet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Van Vliet reassigns Medicare benefits to Vitas Solutions Inc (Miramar, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Van Vliet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Van Vliet accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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 19 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.