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DR. AMANDA CRUZ-DEWEESE DO
NPI 1184005027
Emergency Medicine - Pediatric Emergency Medicine in Jacksonville, FL

Active since June 16, 2015PECOS Enrolled
841 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2021, Jun 30, 2021 (2 updates tracked since 2021).

About Dr. Amanda Cruz-deweese Do NPPES

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

DR. AMANDA CRUZ-DEWEESE DO (NPI 1184005027) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (15296) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1184005027
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameDR. AMANDA CRUZ-DEWEESECredential: DO
Location Address841 PRUDENTIAL DRJacksonville, FL 32207-8329
Mailing Address12995 Huntley Manor DrJacksonville, FL 32224-7911
Phone(904) 396-5682
Sole ProprietorYes
Enumeration DateJune 16, 2015
Last NPPES UpdateJuly 9, 20212 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1184005027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in FL · 15296
Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

841 PRUDENTIAL DR, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Location 1

Location 13100 SW 62nd AveMiami, FL 33155-3009 · Phone (305) 666-6511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Cruz-deweese Do 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 32207 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 20

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

DR. EMMANUEL PENA D.O.
Pediatrics (Child Abuse Pediatrics)
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Duval County (904) 603-4199
MUHAMMAD TANVEER UL HAQUE
Student in an Organized Health Care Education/Training Program
841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207
Duval County (904) 244-3140
DILLON OBERLIN SNYDER DO
Pediatrics
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-4199
KATHERINE MARGARITIS MS, RD, LD/N
Dietitian, Registered
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
SHERRY R FAHMI SHENODA M.D.
Pediatrics
841 PRUDENTIAL DR, SUITE 1330
JACKSONVILLE, FL 32207
Duval County (904) 383-1712
ARENA CHANEY NP
Nurse Practitioner
841 PRUDENTIAL DR, 10TH FLOOR
JACKSONVILLE, FL 32207
Duval County (904) 398-5404
DR. PAMELA L TRAPANE MD
Medical Genetics (Clinical Genetics (M.D.))
841 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 633-0920
JORDAN SWAIN
Speech-Language Pathologist
841 PRUDENTIAL DR, SUITE 140
JACKSONVILLE, FL 32207
Duval County (904) 346-0394

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 Cruz-deweese's NPI number?

The NPI number for Amanda Cruz-deweese is 1184005027. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Amanda Cruz-deweese located?

Amanda Cruz-deweese practices at 841 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Amanda Cruz-deweese's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Amanda Cruz-deweese enrolled in Medicare?

Yes. Amanda Cruz-deweese is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Cruz-deweese was last updated on July 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.