Individual provider Active NPI

Rachelle Ann Kutzko, ARNP

  • Acute Care Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1043823214
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11008869 Issued in FL
Practice address
3333 Cattlemen Rd Ste 106
Sarasota, FL 34232-6057
Phone
(941) 379-1799
Fax
(947) 379-1899
NPI assigned
Aug 28, 2020
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008869 FL
Acute Care Nurse Practitioner 363LA2100X APRN11008869 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd Ste 106
Sarasota, FL 34232-6057

Mailing address

3333 Cattlemen Rd Ste 106
Sarasota, FL 34232-6057
Phone (941) 379-1799

Other practice location 1

5731 Bee Ridge Rd
Sarasota, FL 34233-5056
Phone (941) 342-1100

Other practice location 2

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 342-3000

Other identifiers 2

IdentifierTypeStateIssuer
253654405MedicaidFL
112170600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rachelle.Kutzko@img.directbygreenway.com Direct

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
I20200903000421 FL Practitioner - Nurse Practitioner 6800213935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians
Paul Chmielewski MD PLLCGroup PAC ID 2668549395, 7 clinicians

Practice addresses (Care Compare)

3333 Cattlemen Rd
Suite 106
Sarasota, FL 34232-6057
Phone (941) 379-1799

6150 Edgelake Dr
Sarasota, FL 34240-8803
Phone (941) 925-3427

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Chmielewski MD PLLC CurrentSince Aug 1, 2024 Accepting new patients
Intercoastal Medical Group Inc CurrentSince Aug 28, 2020 Accepting new patients

Locations

3333 Cattlemen Rd
Ste 106
Sarasota, FL 34232
Phone (941) 379-1799

6150 Edgelake Dr
Sarasota, FL 34240
Phone (217) 369-4168

921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390

943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJHCAD/Endpoint/AJHCAD
  • Direct secure messaging: rachelle.kutzko@img.directbygreenway.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1043823214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326057",
            "telephone_number": "941-379-1799",
            "fax_number": "941-379-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD STE 106",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326057",
            "telephone_number": "941-379-1799",
            "fax_number": "947-379-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5731 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342335056",
            "country_code": "US",
            "telephone_number": "941-342-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6150 Edgelake Dr",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342408803",
            "country_code": "US",
            "telephone_number": "941-342-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTZKO",
        "first_name": "RACHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008869",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11008869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253654405",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112170600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rachelle.Kutzko@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3333 Cattlemen Rd Ste 106",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342326057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.