Sierra Melissa Pautke, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11014037 Issued in FL

Practice address

3750 US Highway 27 N Ste 10
Sebring, FL 33870-1644

Phone

(863) 306-0440

Fax

(850) 399-3387

NPI assigned

Jul 3, 2021

Last updated

Dec 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sun 'N Lake Medical Group,PA

  • Rural Health Clinic/Center
  • Sebring, FL
  • NPI 1639375165
  Medicare reassignment NPD
• Sun 'N Lake Medical Group,PA

  • Rural Health Clinic/Center
  • Lake Placid, FL
  • NPI 1144400540
  NPD (past)

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1215508924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 US HIGHWAY 27 N STE 10",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701644",
            "telephone_number": "863-306-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 US HIGHWAY 27 N STE 10",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701644",
            "telephone_number": "863-306-0440",
            "fax_number": "850-399-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 Peugeot St",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338722844",
            "country_code": "US",
            "telephone_number": "850-545-2352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUTKE",
        "first_name": "SIERRA",
        "middle_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11014037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parth Pravinkumar Patel, MD
• Vinod B. Patel, RPH
• Patricia W. Brown, PHD, Arnp, LLC
• Arthur S. Patterson, PHD
• Paul Ebanks, DPM, PA
• Ryan Pauze, P.T.
• Miranda Leann Pendergrass
• Kelly Marie Pepper, D.C.
• Larry John Pepper Jr., D.C.
• Larry John Pepper III, DC

• Primary Care Nurse Practitioner in Sebring, FL
• Providers in Sebring, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.