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AMY BROOKE MENDONSA PA
NPI 1225385453
Physician Assistant - Medical in Fernandina Beach, FL

Active since August 07, 2012PECOS Enrolled
96279 BRADY POINT RD, FERNANDINA BEACH, FL 32034(904) 321-0088(904) 321-0016 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Brooke Mendonsa Pa NPPES

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

AMY BROOKE MENDONSA PA (NPI 1225385453) is an individual medical provider in Fernandina Beach, Florida, licensed in Florida (PA9106594) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225385453
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMY BROOKE MENDONSACredential: PA
Location Address96279 BRADY POINT RDFernandina Beach, FL 32034
Mailing Address96279 Brady Point RdFernandina Beach, FL 32034 · (904) 321-0088 · Fax (904) 321-0016
Phone(904) 321-0088
Fax(904) 321-0016
Sole ProprietorNo
Enumeration DateAugust 7, 2012
✔ NPI 1225385453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9106594
96279 BRADY POINT RD, Fernandina Beach, FL 32034
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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)

Amy Brooke Mendonsa Pa 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.

Other Providers at the Same Location NPPES 5

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

RANDALL B FULFORD PA-C
Physician Assistant
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088
H2 REHABILITATION SERVICES OF FLORIDA LLC
Clinic/Center (Rehabilitation)
96279 BRADY POINT RD, SUITE B
FERNANDINA BEACH, FL 32034
Nassau County (904) 261-7878
AMELIA URGENT CARE LLC
Clinic/Center (Critical Access Hospital)
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-1177
DR. DANIEL JAMES MATRICIA D.O.
Family Medicine
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088
ROBERT J MUNOZ P.A.
Physician Assistant
96279 BRADY POINT RD
FERNANDINA BEACH, FL 32034
Nassau County (904) 321-0088

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 Amy Mendonsa's NPI number?

The NPI number for Amy Mendonsa is 1225385453. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Amy Mendonsa located?

Amy Mendonsa practices at 96279 Brady Point Rd, Fernandina Beach, FL 32034. The listed phone number is (904) 321-0088.

What is Amy Mendonsa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amy Mendonsa enrolled in Medicare?

Yes. Amy Mendonsa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Mendonsa was last updated on August 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.