Tracey Sanderbeck, A.R.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9168905 Issued in FL

Practice address

5666 Seminole Blvd Ste 109
Seminole, FL 33772-7328

Phone

(727) 295-5050

Fax

(727) 273-9668

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Island Life Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seminole, FL
  • NPI 1881175925

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1104213719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5666 SEMINOLE BLVD STE 109",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727328",
            "telephone_number": "727-295-5050",
            "fax_number": "727-273-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 SEMINOLE BLVD STE 109",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337727328",
            "telephone_number": "727-295-5050",
            "fax_number": "727-273-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERBECK",
        "first_name": "TRACEY",
        "credential": "A.R.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9168905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020971300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Nicole Salem
• Zoe Salgado, MD
• Mario Salib
• Shahab Samimi, D.M.D
• Ann Marie Sanchez Zarrella, REGISTERED NURSE
• Rachel Anne Sanders, RN
• Sara Ariana Sarkhail, DMD
• Mark J. Sarno, O.D.
• Nevin M Sarno, O.D.
• Andrew David Schaedler, DMD

• Psychiatric/Mental Health Nurse Practitioner in Seminole, FL
• Providers in Seminole, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.