AMANDA WILLARD APRN
NPI 1174305098
Nurse Practitioner - Family in Interlachen, FL

Active since October 16, 2023PECOS EnrolledAccepts Medicare Assignment
1213 STATE ROAD 20, INTERLACHEN, FL 32148(904) 698-9098 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Dec 8, 2023, Oct 16, 2023 (3 updates tracked since 2023).

About Amanda Willard Aprn NPPES

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

AMANDA WILLARD APRN (NPI 1174305098) is an individual family provider in Interlachen, Florida, licensed in Florida (11029179) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Putnam Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174305098
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA WILLARDCredential: APRN
Location Address1213 STATE ROAD 20Interlachen, FL 32148-2737
Mailing Address1302 River StPalatka, FL 32177-5042 · (386) 328-0108 · Fax (386) 325-1086
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 16, 2023
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1174305098 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 · 11029179
1213 STATE ROAD 20, Interlachen, FL 32148

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 Willard Aprn 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 ID4486003381
PECOS Enrollment IDI20231217000055
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32148 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 6

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

Social Worker (Clinical)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
General Practice
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Clinic/Center (Federally Qualified Health Center (FQHC))
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Pharmacy (Community/Retail Pharmacy)
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Physician Assistant
1213 STATE ROAD 20
INTERLACHEN, FL 32148
Social Worker (Clinical)
1213 STATE ROAD 20
INTERLACHEN, FL 32148

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 Willard's NPI number?

The NPI number for Amanda Willard is 1174305098. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Amanda Willard located?

Amanda Willard practices at 1213 State Road 20, Interlachen, FL 32148. The listed phone number is (904) 698-9098.

What is Amanda Willard's specialty?

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

Is Amanda Willard enrolled in Medicare?

Yes. Amanda Willard 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 Willard accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Amanda Willard 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 Willard affiliated with any hospitals?

According to CMS data, Amanda Willard is affiliated with Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Willard was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.