Individual provider Active NPI

Jizzel Anne Velasco De Leon, DNP

  • Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1245716158
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9345551 Issued in FL
Practice address
4012 Sawyer Rd Ste 101-104
Sarasota, FL 34233-1231
Phone
(941) 893-2688
NPI assigned
Jul 13, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 9345551 FL Primary

Addresses

Primary practice location

4012 Sawyer Rd Ste 101-104
Sarasota, FL 34233-1231

Mailing address

4012 Sawyer Rd Ste 101-104
Sarasota, FL 34233-1231
Phone (941) 893-2688

Other practice location 1

8230 60th Street Cir E Apt 801
Sarasota, FL 34243-3118
Phone (786) 693-3407

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
I20190222000918 FL Practitioner - Nurse Practitioner 0941549794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-7760

1728 Hansen St
Sarasota, FL 34231-3518
Phone (904) 399-5550

1809 S Osprey Ave
Sarasota, FL 34239-3614
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (904) 399-5550

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (904) 399-5550

4761 Sacra CT
Sarasota, FL 34240-4712
Phone (904) 399-5550

6608 Fort Pierce Ave
Sarasota, FL 34241-1209
Phone (904) 399-5550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9345551FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc CurrentSince Jul 1, 2022 Accepting new patients
SMH Physician Services Inc Nurse Practitioner CurrentSince Feb 2, 2026 Accepting new patients
SMH Physician Services Inc Past Accepting new patients
Spartan Anesthesia Associates PA PastSince Nov 14, 2018 Accepting new patients

Locations

2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Organizations & group practices 4

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1245716158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD STE 101-104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331231",
            "telephone_number": "941-893-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 SAWYER RD STE 101-104",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331231",
            "telephone_number": "941-893-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8230 60th Street Cir E Apt 801",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342433118",
            "country_code": "US",
            "telephone_number": "786-693-3407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JIZZEL ANNE",
        "middle_name": "VELASCO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9345551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.