Individual provider Active NPI

Sarajane Johnson, ARNP

  • Gerontology Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1215476536
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9293362 Issued in FL
Practice address
509 SE 17TH Ave
Cape Coral, FL 33990-1610
Phone
(239) 410-3894
NPI assigned
Feb 20, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9293362 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9293362 FL Primary

Addresses

Primary practice location

509 SE 17TH Ave
Cape Coral, FL 33990-1610

Mailing address

509 SE 17TH Ave
Cape Coral, FL 33990-1610
Phone (239) 410-3894

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
I20170404001881 FL Practitioner - Nurse Practitioner 7113203266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Rizzi Geriatrics AssociatesGroup PAC ID 0042552168, 13 clinicians
Rizzi Group LLCGroup PAC ID 6507229598, 31 clinicians

Practice addresses (Care Compare)

1499 S Brandywine Cir
Fort Myers, FL 33919-6775
Phone (239) 202-0059

936 Barcarmil Way
Naples, FL 34110-0903
Phone (239) 265-3391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9293362FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rizzi Group LLC CurrentSince Dec 26, 2024 Accepting new patients
Rizzi Geriatrics Associates CurrentSince Dec 26, 2024 Accepting new patients
Cape Coral Hospitalists Inc Past Accepting new patients

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.

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1215476536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901610",
            "telephone_number": "239-410-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE 17TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901610",
            "telephone_number": "239-410-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAJANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9293362",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9293362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.