AMANDA BURLESON (APRN) – Acute Care Nurse Practitioner, NPI 1679117477

AMANDA BURLESON (APRN) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11004540 (FL). The NPI Number for AMANDA BURLESON (APRN) is 1679117477

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA BURLESON (APRN)
NPI
1679117477
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD
Enumeration Date
5 November 2019
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864256198
Graduation Year
2019 (7 years ago)
PAC ID
7214362623
Group Practice PAC ID
1254238090
Professional Enrollment ID
I20200113002186
Address ID
FL321142709DA303XXBLVD532
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for AMANDA BURLESON (APRN)

  • 11945 SAN JOSE BLVD

    STE 300

    JACKSONVILLE, FL 322231627

    Phone: (904) 396-1725

    Fax: (904) 396-4893

    Type: Mailing

  • 303 N Clyde Morris Blvd

    Daytona Beach, FL 321142709

    Phone: (386) 425-4000

    Type: Location

  • 1455 TUMBLIN DR

    NEW SMYRNA BEACH, FL 321685325

    Phone: (386) 690-0984

    Type: Mailing

  • 1890 LPGA BLVD STE 250

    DAYTONA BEACH, FL 321177131

    Phone: (386) 274-0250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$125
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: 2020-01-13

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
I20200113002186INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes203113$0
99239Hospital discharge day management, more than 30 minutes6161$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3225$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
View full utilization report →

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: 1254238090View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YFL
Nurse PractitionerFL
Physician AssistantFL
U R O L O G YFL
Internal Medicine, Hematology/OncologyFL
Family PracticeFL
Interventional Cardiology, Cardiovascular Disease (Cardiology)FL
--
Emergency MedicineFL
Nurse PractitionerTN

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Frequently asked questions

How do I look up AMANDA BURLESON (APRN) by NPI?
Use NPI 1679117477 when you need to reference AMANDA BURLESON (APRN) in forms, claims, or directories.
Is AMANDA BURLESON (APRN)'s NPI currently valid?
The extract we use shows AMANDA BURLESON (APRN) as active.
What kind of provider is AMANDA BURLESON (APRN)?
The page reflects Acute Care Nurse Practitioner for AMANDA BURLESON (APRN). Clinical services aligned with this taxonomy classification.
What location metadata exists for AMANDA BURLESON (APRN)?
The page summarizes Jacksonville, Florida for AMANDA BURLESON (APRN); expand the address list for detail.
How can I contact AMANDA BURLESON (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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