HEATHER ANN D'AMICO – Nurse Practitioner, NPI 1053062109

HEATHER ANN D'AMICO is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11017365 (FL). The NPI Number for HEATHER ANN D'AMICO is 1053062109

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER ANN D'AMICO
NPI
1053062109
Phone
(904) 887-6433
Address
12759 RIVER STORY CT
Enumeration Date
11 January 2022
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045178222
Graduation Year
2021 (5 years ago)
PAC ID
5799213732
Group Practice PAC ID
0840575007
Professional Enrollment ID
I20250103003091
Address ID
FL322575467JA9765XBLVD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for HEATHER ANN D'AMICO

  • 12759 RIVER STORY CT

    JACKSONVILLE, FL 322232401

    Phone: (904) 887-6433

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($45).

Total Amount

$183

General + Research + Ownership

Payments

9

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250103003091INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840575007View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
R H E U M A T O L O G YFL
Rheumatology, Internal MedicineFL
R H E U M A T O L O G YFL
-FL
R H E U M A T O L O G YFL
R H E U M A T O L O G YFL

Reviews

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Frequently asked questions

How do I look up HEATHER ANN D'AMICO by NPI?
Use NPI 1053062109 when you need to reference HEATHER ANN D'AMICO in forms, claims, or directories.
Is HEATHER ANN D'AMICO active in the national directory?
HEATHER ANN D'AMICO's public NPI profile is in an active state.
What field does HEATHER ANN D'AMICO work in?
You can think of HEATHER ANN D'AMICO as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does HEATHER ANN D'AMICO practice in Florida?
You will see Jacksonville, Florida on file for HEATHER ANN D'AMICO alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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