Individual provider Active NPI

Katelynn Sak

  • Family Nurse Practitioner
  • Nokomis, FL
National Provider Identifier
1114539897
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008814 Issued in FL
Practice address
721 Shakett Creek Dr
Nokomis, FL 34275-2252
Phone
(941) 875-3422
NPI assigned
Aug 23, 2020
Last updated
Aug 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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 APRN11008814 FL Primary

Addresses

Primary practice location

721 Shakett Creek Dr
Nokomis, FL 34275-2252

Mailing address

4202 E Fowler Ave
Tampa, FL 33620-8000

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
I20210721001533 FL Practitioner - Nurse Practitioner 7810390309 Reassigns benefits to 1 organization

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
Florida Cardiac Consultants IncGroup PAC ID 8426026352, 15 clinicians

Practice addresses (Care Compare)

1540 S Tamiami TRL
Suite 401
Sarasota, FL 34239-2921
Phone (941) 917-0060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.35 of 100Reported as group
Quality
4.73
Improvement activities
40
Cost
68.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008814FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cardiac Consultants Inc CurrentSince Aug 30, 2021 Accepting new patients
Florida Cardiac Consultants, Inc PastSince Aug 30, 2021 Accepting new patients

Locations

1540 S Tamiami Trl
Ste 401
Sarasota, FL 34239
Phone (941) 917-0060

600 Nokomis Ave S
Ste 101
Venice, FL 34285
Phone (941) 485-8190

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1114539897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336208000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SHAKETT CREEK DR",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342752252",
            "telephone_number": "941-875-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAK",
        "first_name": "KATELYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nokomis, FL

Sources for this page

Verify at the official NPI Registry.