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AMANDA CARRIE CHAPDELAINE
NPI 1215892476
Anesthesiologist Assistant in Jacksonville, FL

Active since December 19, 2025Accepts Medicare Assignment
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(321) 422-7159 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2025, Dec 19, 2025 (2 updates tracked since 2025).

About Amanda Carrie Chapdelaine NPPES

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

AMANDA CARRIE CHAPDELAINE (NPI 1215892476) is an individual anesthesiologist assistant in Jacksonville, Florida and active in the NPI registry since December 2025. She is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2025).

NPPES Registry Identity

NPI1215892476
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameAMANDA CARRIE CHAPDELAINE
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address55 Ne 159th StMiami, FL 33162-4212 · (305) 335-6776
Phone(321) 422-7159
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 19, 2025
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1215892476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
800 PRUDENTIAL DR, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Carrie Chapdelaine 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 ID2062991565
PECOS Enrollment IDI20260205000357

Medicare Billing Reassignment

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

Us Anesthesia Partners Of Florida Inc.
117 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155

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

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

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.

ERIN M SCHOLZ MS CCC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
TERRI TURNER TOMLINSON MSC CC-SLP
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
MICHELLE SENIA ANTONIO PT
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
ELIZABETH ANN POSTUPACK NURSE PRACTITIONER
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 244-4242
ALYSSA KAY MOULDS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
JAMEY MEDDERS CAA
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000
DR. DAVID ANDREW HOLLOMAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (843) 323-8883
MR. BRADLEY JAMES WINE RN
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Duval County (904) 202-2000

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 Chapdelaine's NPI number?

The NPI number for Amanda Chapdelaine is 1215892476. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Amanda Chapdelaine located?

Amanda Chapdelaine practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (321) 422-7159.

What is Amanda Chapdelaine's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Amanda Chapdelaine enrolled in Medicare?

Yes. Amanda Chapdelaine 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.

Which organization bills Medicare for Amanda Chapdelaine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Chapdelaine reassigns Medicare benefits to Us Anesthesia Partners Of Florida Inc. (Maitland, 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 Chapdelaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amanda Chapdelaine affiliated with any hospitals?

According to CMS data, Amanda Chapdelaine is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Amanda Chapdelaine was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.