Danielle Lynn Decubellis, ARNP
Individual provider Active NPI Family Nurse Practitioner · Nokomis, FL
NPI 1023593142 · NPPES record last updated Jun 13, 2026
Key facts
- NPI
- 1023593142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9384250 (FL)
- Practice address
- 409 Serano Way Unit 101
Nokomis, FL 34275-5241 - Phone
- (941) 484-8222
- NPI assigned
- Sep 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- 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, LLC
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 100
- Quality
- 86.67
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190305000333 | FL | Practitioner - Nurse Practitioner | 6507105806 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin Ross Wasserman MD PL | Current |
Accepting new patients | |
| Olga Ulitsky MD PL | Current |
Accepting new patients | |
| Michelle Pennie MD LLC | Past | Accepting new patients |
Locations
409 Serano Way
Unit 101
Nokomis, FL 34275
Phone (941) 484-8222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9384250 | FL | Yes |
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
Other providers in Nokomis, FL
- Casey Lee Collins
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Medical Supplies, 'LLC'
- Mara Megan Crowe
- Lynn Daigler
- Carolyn Devick
- Rebecca Jayne Dole
- Dr Elizabeth Eisenhauer Prosser PA
- James Duquette
- Easter Seals Southwest Florida, Nokomis
All providers in Nokomis, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.