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AMANDA MILLICAN
NPI 1174121909
Nurse Practitioner - Family in Lakeland, FL

Active since October 14, 2020PECOS Enrolled
5101 US HIGHWAY 98 S, LAKELAND, FL 33812(863) 284-6800 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Oct 14, 2020 (2 updates tracked since 2020).

About Amanda Millican NPPES

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

AMANDA MILLICAN (NPI 1174121909) is an individual family provider in Lakeland, Florida, licensed in Florida (APRN11008582) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1174121909
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA MILLICAN
Location Address5101 US HIGHWAY 98 SLakeland, FL 33812-4384
Mailing Address605 Laura RdLakeland, FL 33815-3220 · (863) 581-1457
Phone(863) 284-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 14, 2020
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1174121909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11008582
5101 US HIGHWAY 98 S, Lakeland, FL 33812
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Millican is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618375890
PECOS Enrollment IDI20211004000623
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 33812 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 2

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

JACOB PAUL GLOTFELTY
Family Medicine
5101 US HIGHWAY 98 S
LAKELAND, FL 33812
Polk County (863) 284-5000
LAKELAND REGIONAL HEALTH SYSTEM, INC.
Family Medicine
5101 US HIGHWAY 98 S
LAKELAND, FL 33812
Polk County (863) 284-1662

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 Millican's NPI number?

The NPI number for Amanda Millican is 1174121909. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Amanda Millican located?

Amanda Millican practices at 5101 Us Highway 98 S, Lakeland, FL 33812. The listed phone number is (863) 284-6800.

What is Amanda Millican's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Millican enrolled in Medicare?

Yes. Amanda Millican is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Millican was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.