AMANDA LYNN BROCK
NPI 1063121689
Nurse Practitioner - Primary Care in Tallahassee, FL

Active since November 22, 2022PECOS EnrolledAccepts Medicare Assignment
1511 SURGEONS DR, TALLAHASSEE, FL 32308(850) 701-0695 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Lynn Brock NPPES

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

AMANDA LYNN BROCK (NPI 1063121689) is an individual primary care provider in Tallahassee, Florida, licensed in Florida (11022900) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1063121689
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameAMANDA LYNN BROCK
Location Address1511 SURGEONS DRTallahassee, FL 32308-4680
Mailing Address1511 Surgeons DrTallahassee, FL 32308-4680
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 22, 2022
NPPES CertifiedNovember 22, 2022
NPI 1063121689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in FL · 11022900
1511 SURGEONS DR, Tallahassee, FL 32308

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 and accepts Medicare assignment

Amanda Lynn Brock is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527439330
PECOS Enrollment IDI20230113000567
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Calhoun-Liberty Hospital

Critical Access Hospitals · Blountstown, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101304
Location20370 NE Burns AveBlountstown, FL 32424 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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.

Physician Assistant
1511 SURGEONS DR
TALLAHASSEE, FL 32308
Family Medicine
1511 SURGEONS DR
TALLAHASSEE, FL 32308
Physician Assistant
1511 SURGEONS DR
TALLAHASSEE, FL 32308
Family Medicine
1511 SURGEONS DR, SUITE C
TALLAHASSEE, FL 32308
Physician Assistant
1511 SURGEONS DR
TALLAHASSEE, FL 32308
Physician Assistant
1511 SURGEONS DR, SUITE A
TALLAHASSEE, FL 32308
Physician Assistant
1511 SURGEONS DR
TALLAHASSEE, FL 32308
Family Medicine
1511 SURGEONS DR
TALLAHASSEE, FL 32308

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 Brock's NPI number?

The NPI number for Amanda Brock is 1063121689. It was assigned to this individual provider in the NPPES registry on November 22, 2022.

Where is Amanda Brock located?

Amanda Brock practices at 1511 Surgeons Dr, Tallahassee, FL 32308. The listed phone number is (850) 701-0695.

What is Amanda Brock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Amanda Brock enrolled in Medicare?

Yes. Amanda Brock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Brock accept?

Health plans from UnitedHealthcare list Amanda Brock 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.

Is Amanda Brock affiliated with any hospitals?

According to CMS data, Amanda Brock is affiliated with Tallahassee Memorial Healthcare and Calhoun-Liberty Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Brock was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.