DR. AMANDA BARTELL (D.P.M.) – Podiatrist, NPI 1366429862

DR. AMANDA BARTELL (D.P.M.) is a healthcare provider. based in Jacksonville, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. P03128 (FL). The NPI Number for DR. AMANDA BARTELL (D.P.M.) is 1366429862

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA BARTELL (D.P.M.)
NPI
1366429862
Phone
(904) 236-5023
Address
8825 PERIMETER PARK BLVD
Enumeration Date
27 December 2005
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9045628527
Graduation Year
2001 (25 years ago)
PAC ID
6305804253
Group Practice PAC ID
5890886428
Professional Enrollment ID
I20041227000118
Address ID
FL322161124JA8825XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. AMANDA BARTELL (D.P.M.)

  • 8825, Perimeter Park Blvd, Jacksonville, Duval County, Florida, 32216, United States

    SUITE 401

    JACKSONVILLE, FL 322161108

    Phone: (904) 236-5023

    Fax: (904) 216-1276

    Type: Mailing

  • 465 TOWN PLAZA AVE STE A

    PONTE VEDRA, FL 320815164

    Phone: (904) 236-5023

    Fax: (904) 236-5073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($55).

Total Amount

$118

General + Research + Ownership

Payments

4

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

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: 2004-12-27

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
I20041227000118IPodiatryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
73630X-ray of foot, minimum of 3 views386178$0
99213Established patient office or other outpatient visit, 20-29 minutes211119$0
17110Destruction of skin growth, 1-14 growths12066$0
99214Established patient office or other outpatient visit, 30-39 minutes10278$0
99204New patient office or other outpatient visit, 45-59 minutes8585$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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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: 5890886428View full group profile
NameSpecialtyState
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. AMANDA BARTELL (D.P.M.)?
DR. AMANDA BARTELL (D.P.M.) — NPI 1366429862 — is the standard way to identify this listing.
Does the file indicate DR. AMANDA BARTELL (D.P.M.) is practicing under active NPI?
Directory data currently reports DR. AMANDA BARTELL (D.P.M.) as active.
What taxonomy line describes DR. AMANDA BARTELL (D.P.M.)?
For research purposes, treat DR. AMANDA BARTELL (D.P.M.) as Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. AMANDA BARTELL (D.P.M.) serve?
DR. AMANDA BARTELL (D.P.M.)'s listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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