Active NPI
David Sanjurjo, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5011240
- Practice address
- 3801 Wake Forest Rd Ste 110
Raleigh, NC 27609-6864 - Phone
- (984) 263-4110
- Fax
- (984) 263-4117
- NPI assigned
- Jul 25, 2013
- Last updated
- Mar 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9309268 | FL | |
| Family Nurse Practitioner | 363LF0000X | 5011240 | NC | Primary |
Addresses
Primary practice location
3801 Wake Forest Rd Ste 110
Raleigh, NC 27609-6864
Mailing address
3801 Wake Forest Rd Ste 110
Raleigh, NC 27609-6864
Phone (984) 263-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Wake Forest Rd
Suite 110
Raleigh, NC 27609-6864
Phone (984) 263-4110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | Current | Accepting new patients | |
| Primary Care PLLC | Family | Current | Accepting new patients |
Locations
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
2994 Kildaire Farm Rd
Cary, NC 27518
Phone (866) 392-2727
1004 Werrington Dr
Ste 200
Holly Springs, NC 27540
Phone (919) 237-1337
7201 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-7600
2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401
3801 Wake Forest Rd
Ste 110
Raleigh, NC 27609
Phone (984) 263-4110
6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415
7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880
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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1770354763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1255773644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 WAKE FOREST RD STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096864",
"telephone_number": "984-263-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 WAKE FOREST RD STE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096864",
"telephone_number": "984-263-4110",
"fax_number": "984-263-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANJURJO",
"first_name": "DAVID",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9309268",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5011240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.