Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881863652 Individual Practitioner Female Practitioner

Amanda Kristen Graham , ARNP

Nurse Practitioner • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Amanda Graham, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville, FL. Practice services are available at 425 N LEE ST STE 203 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 N Lee St Ste 203

Jacksonville, FL 322041128

Telephone 9043548200
Fax 9043541340
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
190 146 $323.00 $89.75
99213 Established patient office or other outpatient visit, typically 15 minutes
56 48 $220.00 $60.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $436.00 $122.41

Medical Specialties & State Licenses

CMS Verified: 2024-09-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9201902

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License FL ARNP9201902

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
308972000 (FL)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Dr. William Mentz , MD

Internal Medicine - Pulmonary Disease

NPI 1043248461

Doctor of Medicine (M.D.)

Dr. Raymond Pumarejo , MD

Internal Medicine - Pulmonary Disease

NPI 1104806892

Doctor of Medicine (M.D.)

Dr. Eyad Kawar , MD

Internal Medicine

NPI 1205038296

Doctor of Medicine (M.D.)

Alicia Deboe , ARNP

Nurse Practitioner

NPI 1417475369

Advanced Registered Nurse Practitioner

Patricia Mcardle , ARNP

Nurse Practitioner - Adult Health

NPI 1457582199

Advanced Registered Nurse Practitioner

Lauren Harrell , ARNP

Nurse Practitioner - Family

NPI 1508180480

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address September 12, 2024

Registered at 27 MARCO ISLAND WAY, PONTE VEDRA, FL 320810532 (Tel: 9046160322)

👤
Provider Name / Credentials Updated September 12, 2024

Recorded as AMANDA GRAHAM, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2024

Nurse Practitioner (License #ARNP9201902 in FL)

📍
Updated Practice Location September 18, 2018

Registered at 425 N LEE ST STE 203, JACKSONVILLE, FL 322041128 (Tel: 9043548200)

📍
Updated Business Mailing Address September 18, 2018

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623

NPI Profile Active May 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2008

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address May 27, 2008

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤
Provider Name / Credentials Updated May 27, 2008

Recorded as AMANDA KLIPA, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2008

Nurse Practitioner (License #ARNP9201902 in FL)

🟢
Initial NPI Registration & Enumeration February 26, 2008

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: 1881863652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2008
Last Update: September 12, 2024
Sole Proprietor: No

Mailing Address

27 Marco Island Way

Ponte Vedra, FL 320810532

Phone: 9046160322

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.