Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA LEE SHOEMAKER
NPI 1902556053
Physician Assistant in Jacksonville, FL

Q: What is Amanda Shoemaker's NPI number?

The NPI number for Amanda Shoemaker is 1902556053. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Amanda Shoemaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Shoemaker was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment

14534 OLD SAINT AUGUSTINE RD STE 3210, JACKSONVILLE, FL 32258(904) 675-4000(904) 675-4007 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Mar 27, 2023, Mar 15, 2023 and 3 more (6 updates tracked since 2022).

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About Amanda Lee Shoemaker NPPES

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

AMANDA LEE SHOEMAKER (NPI 1902556053) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9116456) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902556053

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA LEE SHOEMAKER

Location Address14534 OLD SAINT AUGUSTINE RD STE 3210Jacksonville, FL 32258-2645

Mailing Address11945 San Jose Blvd Ste 300Jacksonville, FL 32223-1627 · (904) 396-1725 · Fax (904) 396-4893

Phone(904) 675-4000

Fax(904) 675-4007

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 23, 2022

Last NPPES UpdateJune 22, 20266 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1902556053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9116456✔ Licensed in NC · 0010-13127

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

14534 OLD SAINT AUGUSTINE RD STE 3210, Jacksonville, FL 32258

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Secondary Practice Locations 2

Location 17207 Golden Wings Rd Ste 100Jacksonville, FL 32244-3324 · Phone (904) 389-1010 · Fax (904) 389-1082

Location 25191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · Phone (904) 675-4000 · Fax (904) 675-4007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare.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 Lee Shoemaker 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 ID1951779032

PECOS Enrollment IDI20221130002447

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 32258 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

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 14

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

JOANNA LEIGH MARSHALL PT

Physical Therapist