Individual provider Active NPI

Karen Emma Mignone Ferris, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1013256387
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP2695152 Issued in FL
Practice address
1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943
Phone
(941) 366-5864
Fax
(941) 316-9819
NPI assigned
Feb 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP2695152 FL Primary

Addresses

Primary practice location

1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943

Mailing address

1921 Waldemere St
Ste 705
Sarasota, FL 34239-2943
Phone (941) 366-5864

Other identifiers 2

IdentifierTypeStateIssuer
008210700MedicaidFL
Y0FQ1OtherFLBCBS OF FL

Other names 1

  • Karen Emma Mignone Marleau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000200 FL Practitioner - Nurse Practitioner 7113162843 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Mar 15, 2019 Accepting new patients
MCR Health, Inc. CurrentSince Mar 15, 2019 Accepting new patients
Florida Department of Health Current Accepting new patients
Florida Department of Health CurrentSince Nov 4, 2016 Accepting new patients
Florida Department of Health CurrentSince Nov 4, 2016 Accepting new patients
SMH Physician Services Inc CurrentSince Mar 18, 2013 Accepting new patients
Sunshine Rheumatology and Arthritis Center LLC PastSince Jan 1, 2022 Accepting new patients

Locations

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 705
Sarasota, FL 34239
Phone (941) 366-5864

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

2200 Ringling Blvd
Sarasota, FL 34237
Phone (941) 861-2900

5350 University Pkwy
Ste 101
Sarasota, FL 34243
Phone (941) 917-4675

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1013256387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-366-5864",
            "fax_number": "941-316-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WALDEMERE ST",
            "address_2": "STE 705",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392943",
            "telephone_number": "941-366-5864",
            "fax_number": "941-316-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "KAREN",
        "middle_name": "EMMA MIGNONE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-06",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2695152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008210700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "Y0FQ1",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MARLEAU",
            "middle_name": "EMMA MIGNONE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.