AMANDA MAE DISTIN APRN
NPI 1487598769
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

Active since April 16, 2026PECOS EnrolledAccepts Medicare Assignment
1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Amanda Mae Distin Aprn NPPES

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

AMANDA MAE DISTIN APRN (NPI 1487598769) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (APRN11046724) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487598769
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA MAE DISTINCredential: APRN
Location Address1835 GILMORE AVELakeland, FL 33805-3017
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Fax(863) 582-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 16, 2026
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1487598769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11046724
1835 GILMORE AVE, Lakeland, FL 33805

Secondary Practice Locations 5

Location 11255 Golfview AveBartow, FL 33830-6736 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 2213 E Orange St Ste BWauchula, FL 33873-2934 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 3715 N Lake Ave Ste 1Lakeland, FL 33801-1908 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 43750 Emergency Ln Ste 100Sebring, FL 33870-5500 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 51 Scenic Central Ste 100Lake Wales, FL 33853-6107 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251

Other Identifiers 1

Medicaid132771300FL

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 Mae Distin 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 ID8224599477
PECOS Enrollment IDI20260917002015
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 33805 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.

Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Psychiatry & Neurology (Psychiatry)
1835 GILMORE AVE
LAKELAND, FL 33805
Counselor (Mental Health)
1835 GILMORE AVE
LAKELAND, FL 33805
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Licensed Practical Nurse
1835 GILMORE AVE
LAKELAND, FL 33805
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805

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 Distin's NPI number?

The NPI number for Amanda Distin is 1487598769. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Amanda Distin located?

Amanda Distin practices at 1835 Gilmore Ave, Lakeland, FL 33805. The listed phone number is (863) 519-0575.

What is Amanda Distin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amanda Distin enrolled in Medicare?

Yes. Amanda Distin 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 Distin accept?

Health plans from Oscar Health Maintenance Organization of Florida list Amanda Distin 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.

When was this NPI record last updated?

The NPPES record for Amanda Distin was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.