Individual provider Active NPI

Danielle Lynn Decubellis, ARNP

  • Family Nurse Practitioner
  • Nokomis, FL
National Provider Identifier
1023593142
Registry record updated Jun 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9384250 Issued in FL
Practice address
409 Serano Way Unit 101
Nokomis, FL 34275-5241
Phone
(941) 484-8222
NPI assigned
Sep 25, 2018
Last updated
Jun 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2026

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 ARNP9384250 FL Primary

Addresses

Primary practice location

409 Serano Way Unit 101
Nokomis, FL 34275-5241

Mailing address

5621 Mauna Loa Blvd Unit 206
Sarasota, FL 34240-7045
Phone (941) 993-5082

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
I20190305000333 FL Practitioner - Nurse Practitioner 6507105806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

350 S Indiana Ave
Englewood, FL 34223-3715
Phone (941) 474-8811

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as individual
Quality
86.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olga Ulitsky MD PL CurrentSince Jul 1, 2026 Accepting new patients
Justin Ross Wasserman MD PL CurrentSince Jul 1, 2026 Accepting new patients
Michelle Pennie MD LLC Past Accepting new patients

Locations

409 Serano Way
Unit 101
Nokomis, FL 34275
Phone (941) 484-8222

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781308800000",
    "number": "1023593142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 MAUNA LOA BLVD UNIT 206",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342407045",
            "telephone_number": "941-993-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SERANO WAY UNIT 101",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755241",
            "telephone_number": "941-484-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECUBELLIS",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-06-13",
        "certification_date": "2026-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9384250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

Verify at the official NPI Registry.