MISS AMANDA NICOLE CONNOR PA-C
NPI 1356609523
Physician Assistant - Surgical in St Petersburg, FL

Active since April 25, 2012PECOS Enrolled
601 5TH ST S, 306, ST PETERSBURG, FL 33701(727) 767-3779(727) 767-4346 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Amanda Nicole Connor Pa-c NPPES

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

MISS AMANDA NICOLE CONNOR PA-C (NPI 1356609523) is an individual surgical provider in St Petersburg, Florida, licensed in Florida (PA9106489) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356609523
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS AMANDA NICOLE CONNORCredential: PA-C
Location Address601 5TH ST S, 306St Petersburg, FL 33701-4804
Mailing Address601 5th St S, 306St Petersburg, FL 33701-4804 · (727) 767-3779 · Fax (727) 767-4346
Fax(727) 767-4346
Sole ProprietorNo
Enumeration DateApril 25, 2012
NPI 1356609523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9106489
601 5TH ST S, St Petersburg, FL 33701

Other Identifiers 1

Other11111None

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 (PECOS)

Miss Amanda Nicole Connor Pa-c 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 20

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

Neurological Surgery
601 5TH ST S, 5TH FLOOR
ST PETERSBURG, FL 33701
Genetic Counselor, MS
601 5TH ST S, DEPT. 7020
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Pulmonology)
601 5TH ST S, SUITE 708
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Pulmonology)
601 5TH ST S, SUITE 708
ST PETERSBURG, FL 33701
Surgery (Pediatric Surgery)
601 5TH ST S, DEPARTMENT 70-6600 3RD FLOOR
ST PETERSBURG, FL 33701
Pathology (Pediatric Pathology)
601 5TH ST S
ST PETERSBURG, FL 33701
Physician Assistant (Surgical)
601 5TH ST S, 2ND FLOOR
ST PETERSBURG, FL 33701
Plastic Surgery
601 5TH ST S, DEPARTMENT 70-7895
ST PETERSBURG, FL 33701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356609523, enumerated as an "individual" on April 25, 2012.

The provider is located at 601 5TH ST S 306 ST PETERSBURG, FL 33701 and the phone number is (727) 767-3779.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.