Individual provider Active NPI

Sherry Center, ARNP-C

  • Family Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1184046062
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131122 Issued in FL
Practice address
300 N Ronald Reagan Blvd Ste 303
Longwood, FL 32750-5902
Phone
(772) 708-7822
Fax
(239) 880-1008
NPI assigned
Jan 13, 2014
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 1131122 FL Primary

Addresses

Primary practice location

300 N Ronald Reagan Blvd Ste 303
Longwood, FL 32750-5902

Mailing address

300 N Ronald Reagan Blvd Ste 303
Longwood, FL 32750-5902
Phone (772) 708-7822

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
I20140910002458 FL Practitioner - Nurse Practitioner 5991924672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1816 Hillcrest St
Orlando, FL 32803-4823
Phone (321) 272-3233

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1131122FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier House Calls, LLC CurrentSince Aug 1, 2019 Accepting new patients
Centmars Inc PastSince Aug 2, 2020 Accepting new patients

Locations

111 N Orange Ave
Ste 800805
Orlando, FL 32801
Phone (772) 708-7822

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 5

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1184046062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 303",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505902",
            "telephone_number": "772-708-7822",
            "fax_number": "239-880-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 303",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505902",
            "telephone_number": "772-708-7822",
            "fax_number": "239-880-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTER",
        "first_name": "SHERRY",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1131122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.