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AMANDA DIBENEDETTO APRN
NPI 1922898063
Nurse Practitioner - Family in St Augustine, FL

Active since May 12, 2025PECOS Enrolled
301 HEALTH PARK BLVD STE 219, ST AUGUSTINE, FL 32086(904) 819-9898(877) 355-2282 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2025, Jul 1, 2025, May 12, 2025 (3 updates tracked since 2025).

About Amanda Dibenedetto Aprn NPPES

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

AMANDA DIBENEDETTO APRN (NPI 1922898063) is an individual family provider in St Augustine, Florida, licensed in Florida (APRN11040506) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Augustine.

NPPES Registry Identity

NPI1922898063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA DIBENEDETTOCredential: APRN
Location Address301 HEALTH PARK BLVD STE 219St Augustine, FL 32086-5795
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 819-9898
Fax(877) 355-2282
Sole ProprietorNo
Enumeration DateMay 12, 2025
Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1922898063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11040506
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9646453 (FL)
301 HEALTH PARK BLVD STE 219, St Augustine, FL 32086
Open in Google Maps ↗

Secondary Practice Location 1

Location 1368 Goldenrod DrSaint Augustine, FL 32092-7678 · Phone (631) 598-9145

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Dibenedetto Aprn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amanda Dibenedetto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Women's Care Florida LLC
149 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
NPI 1013902923 (813) 286-0333
Womens' Health Hospitalists, LLC
149 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1205295599 (813) 286-0333

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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 8

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

REDA ALAMI MD
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
VIJAYSELWYN DAVIS DHAS M.D.
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
CATHERINE ELIZABETH ELLIOTT APRN CNM
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
KATELYN HULL CNM
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
NICOLE LYNN GRESS CNM
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
JESSICA JO DEAN APRN, CNM
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
ANAH MARKS APRN,CNM
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898
WOMEN'S CARE FLORIDA LLC
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
St. Johns County (904) 819-9898

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 Dibenedetto's NPI number?

The NPI number for Amanda Dibenedetto is 1922898063. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Amanda Dibenedetto located?

Amanda Dibenedetto practices at 301 Health Park Blvd Ste 219, St Augustine, FL 32086. The listed phone number is (904) 819-9898.

What is Amanda Dibenedetto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Dibenedetto enrolled in Medicare?

Yes. Amanda Dibenedetto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Dibenedetto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dibenedetto reassigns Medicare benefits to 2 organizations: Women's Care Florida LLC (Tampa, FL) and Womens' Health Hospitalists, LLC (Tampa, FL). Each 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 Dibenedetto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dibenedetto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Amanda Dibenedetto 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 Dibenedetto was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.