Individual provider Active NPI

Sherrie O'Callaghan

  • Family Nurse Practitioner
  • North Port, FL
National Provider Identifier
1043865587
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003438 Issued in FL
Practice address
1390 Grand Venture Dr
North Port, FL 34286-2309
Phone
(941) 257-2280
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 APRN11003438 FL Primary

Addresses

Primary practice location

1390 Grand Venture Dr
North Port, FL 34286-2309

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

22395 Edgewater Dr
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

Other identifiers 1

IdentifierTypeStateIssuer
110760300MedicaidFL

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
I20191206001606 FL Practitioner - Nurse Practitioner 5597198473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Premier Health Plus LLCGroup PAC ID 5799174900, 3 clinicians

Practice addresses (Care Compare)

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

3691 Tamiami TRL
Punta Gorda, FL 33950-7228
Phone (941) 347-8912

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Plus LLC CurrentSince Dec 1, 2022 Accepting new patients
St Vincent Depaul Volunteer Community Pharmacy PastSince Aug 1, 2019 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

3691 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 347-8912

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sherrie.o.callaghan.2@24992.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24992/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1043865587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 GRAND VENTURE DR",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342862309",
            "telephone_number": "941-257-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22395 Edgewater Dr",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339802012",
            "country_code": "US",
            "telephone_number": "941-766-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CALLAGHAN",
        "first_name": "SHERRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110760300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

Verify at the official NPI Registry.