AMANDA OLIVER – Family Nurse Practitioner, NPI 1083434377

AMANDA OLIVER is a healthcare provider. based in Atlantic beach, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11035883 (FL). The NPI Number for AMANDA OLIVER is 1083434377

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA OLIVER
NPI
1083434377
Phone
(904) 955-1994
Address
536 PELICAN KY
Enumeration Date
12 October 2024
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042914885
Graduation Year
2024 (2 years ago)
PAC ID
5496247363
Group Practice PAC ID
3870892805
Professional Enrollment ID
I20251126003954
Address ID
FL320688531MI430XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for AMANDA OLIVER

  • 536 PELICAN KY

    ATLANTIC BEACH, FL 322334300

    Phone: (904) 955-1994

    Type: Location

  • 4441 WORTH DR E

    JACKSONVILLE, FL 322077503

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $357.

Total Amount is formed as General ($357) + Research ($0) + Ownership ($0) = $357.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($357).

Total Amount

$357

General + Research + Ownership

Payments

3

Total payment records

General Amount

$357

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2025-11-26

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
I20251126003954INurse 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 32233)

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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: 3870892805View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL
Nurse PractitionerFL
P O D I A T R YFL
P O D I A T R YNJ
Nurse PractitionerFL
Nurse PractitionerFL
P O D I A T R YNJ
P O D I A T R YNY
P O D I A T R YFL

Reviews

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Frequently asked questions

How is AMANDA OLIVER identified in CMS data?
CMS-hosted NPPES data lists AMANDA OLIVER with NPI 1083434377.
Is AMANDA OLIVER listed as active for patients and plans?
The listing shows AMANDA OLIVER as active in the NPI system.
What healthcare role does AMANDA OLIVER hold?
Scheduling teams often label AMANDA OLIVER under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does AMANDA OLIVER serve?
AMANDA OLIVER's listing highlights Atlantic Beach, Florida; more addresses can appear in NPPES.
Is the information about AMANDA OLIVER up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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