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: July 19, 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, maintains a secondary practice location in Saint Augustine, and is a graduate of Other (2025).

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
Fax(877) 355-2282
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
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

Secondary Practice Location 1

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

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)

Amanda Dibenedetto Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830604073
PECOS Enrollment IDI20250716000673
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 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 7

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

Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
Obstetrics & Gynecology
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
SAINT AUGUSTINE, FL 32086
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
ST AUGUSTINE, FL 32086
Advanced Practice Midwife
301 HEALTH PARK BLVD STE 219
SAINT AUGUSTINE, FL 32086

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.

What insurance does Amanda Dibenedetto accept?

Health plans from Ambetter Health and Ambetter of Alabama 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 with the weekly NPPES data releases published by CMS.