Individual provider Active NPI

Sarah Sellers, ARNP

  • Family Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1164013975
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011384 Issued in FL
Practice address
1101 S Eustis St
Eustis, FL 32726-5558
Phone
(352) 589-9661
NPI assigned
Feb 3, 2021
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 11011384 FL Primary

Addresses

Primary practice location

1101 S Eustis St
Eustis, FL 32726-5558

Mailing address

1101 S Eustis St
Eustis, FL 32726-5558
Phone (352) 409-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210308002523 FL Practitioner - Nurse Practitioner 6406262997 Reassigns benefits to 1 organization
I20240529002190 CT Practitioner - Nurse Practitioner 6406262997

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 S Western Ave
Unit 1
Chicago, IL 60612-4644

119 S Western Ave Unit
Suite 1
Chicago, IL 60612-4644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011384FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Primary Care Associates, P.a. Family CurrentSince Feb 16, 2021 Accepting new patients
Complex Health Partners LLC CurrentSince Jul 22, 2024 Accepting new patients
Mobile Practitioner LLC Current Accepting new patients

Locations

1101 S Eustis St
Eustis, FL 32726
Phone (352) 589-4111

2101 Prevatt St
Eustis, FL 32726
Phone (352) 589-4774

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1164013975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-409-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S EUSTIS ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265558",
            "telephone_number": "352-589-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "SARAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.