Individual provider Active NPI

David Sanjurjo, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1255773644
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011240 Issued in NC
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204000610 NC Practitioner - Nurse Practitioner 2264656222 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
Group practices
Avance Care PAGroup PAC ID 3577634476, 244 clinicians

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

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince Feb 1, 2025 Accepting new patients
Primary Care PLLC Family CurrentSince Nov 5, 2024 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.

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

Verify at the official NPI Registry.