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Active NPI 1174305098 Individual Practitioner Female Practitioner

Amanda Willard , APRN

Nurse Practitioner - Family • Interlachen, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Willard, APRN is a certified Nurse Practitioner - Family practicing in Interlachen, FL. With approximately 3 years of clinical experience since completing medical education in 2023, Amanda Willard delivers high-quality medical care to the local community at 1213 STATE ROAD 20.

Amanda Willard is affiliated with Rural Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1213 State Road 20

Interlachen, FL 321482737

Telephone 9046989098
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Interlachen, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs Matches City Avg
City Avg: 3.0 Yrs
State Avg: 8.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Interlachen, FL (22518 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Willard (3 Years) 3 Yrs
Interlachen Specialty Average (3.0 Years) 3.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
18 15 $70.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2024-04-03
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL 11029179

Definition to come...

Hospital & Practice Group Affiliations

Rural Health Care Incorporated

1213 State Rd, Interlachen, FL 321482737

Phone: 3863280108

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
John Phipps , LCSW

Social Worker - Clinical

NPI 1124116090

Licensed Clinical Social Worker

NPI 1417902685

Doctor of Medicine (M.D.)

Joseph Altamirando , PA

Physician Assistant

NPI 1730498916

Physician Assistant

Julie Elwood

Social Worker - Clinical

NPI 1811387590

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address April 03, 2024

Registered at 1302 RIVER ST, PALATKA, FL 321775042 (Tel: 3863280108)

📍
Updated Practice Location December 08, 2023

Registered at 1213 STATE ROAD 20, INTERLACHEN, FL 321482737 (Tel: 9046989098)

NPI Profile Active October 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2023

Registered at 130 CEDAR CREEK RD, PALATKA, FL 321776912 (Tel: 9046989098)

📍
Updated Business Mailing Address October 16, 2023

Registered at 130 CEDAR CREEK RD, PALATKA, FL 321776912 (Tel: 9046989098)

👤
Provider Name / Credentials Updated October 16, 2023

Recorded as AMANDA WILLARD, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2023

Nurse Practitioner (License #11029179 in FL)

🟢
Initial NPI Registration & Enumeration October 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174305098
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2023
Last Update: April 03, 2024
Sole Proprietor: Yes

Mailing Address

1302 River St

Palatka, FL 321775042

Phone: 3863280108

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.