Individual provider Active NPI

Tarah Czyzewski

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1114798774
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11030590 Issued in FL
Practice address
5741 Bee Ridge Rd Ste 450
Sarasota, FL 34233-5081
Phone
(941) 214-2864
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11030590 FL Primary

Addresses

Primary practice location

5741 Bee Ridge Rd Ste 450
Sarasota, FL 34233-5081

Mailing address

6715 Lockwood Ridge Rd Apt 416
Sarasota, FL 34243-3698
Phone (941) 724-5426

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
I20240120000039 FL Practitioner - Nurse Practitioner 5294187795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11030590FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vigafra PLLC CurrentSince Jan 11, 2024 Accepting new patients
Ortho Florida, LLC CurrentSince Oct 1, 2025 Accepting new patients
Ortho Florida, LLC CurrentSince Oct 1, 2025 Accepting new patients
Mobile Anesthesia Associates LLC CurrentSince Oct 1, 2024 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434

2001 Manatee Ave E
Ste 103
Bradenton, FL 34208
Phone (941) 757-3521

5504 Pinebrook Rd
Ste 201
North Venice, FL 34275
Phone (941) 552-3318

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864

115 W Bay St
Wauchula, FL 33873
Phone (863) 773-3785

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1114798774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 LOCKWOOD RIDGE RD APT 416",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342433698",
            "telephone_number": "941-724-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 450",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335081",
            "telephone_number": "941-214-2864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZYZEWSKI",
        "first_name": "TARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.