Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lee Shoemaker

Individual provider Physician Assistant · NPI 1902556053

Amanda Lee Shoemaker is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Riverside Spine and Pain Physicians LLC, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
4
Licensed in
FL, NC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645
Phone: (904) 675-4000
Fax: (904) 675-4007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5191 First Coast Tech Pkwy Fl 3, Jacksonville, FL 32224-0609 — (904) 675-4000
  • 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 — (904) 389-1010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116456 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13127 (NC)

Record details

NPI number1902556053
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2022
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address11945 San Jose Blvd Ste 300, Jacksonville, FL 32223-1627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Riverside Spine And Pain Physicians Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jacksonville