Individual provider Active NPI

Sue-Lay D Plasencia, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1285248195
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009004 Issued in FL
Practice address
6376 Pine Ridge Rd
Naples, FL 34119-3908
Phone
(239) 514-2225
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009004 FL Primary

Addresses

Primary practice location

6376 Pine Ridge Rd
Naples, FL 34119-3908

Mailing address

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 302-5236

Other practice location 1

20081 Barletta Ln Unit 2823
Estero, FL 33928-6329
Phone (813) 494-2583

Other identifiers 1

IdentifierTypeStateIssuer
1285248195MedicaidFL

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
I20221104000379 FL Practitioner - Nurse Practitioner 8022485044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Gulf Coast Ear Nose and Throat LLCGroup PAC ID 0042249625, 12 clinicians

Practice addresses (Care Compare)

2180 Immokalee Rd
Suite 101
Naples, FL 34110-1422
Phone (239) 514-2225

Hospital & facility affiliations

  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009004FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floridagulfcoast Earnoseandthroat LLC CurrentSince Oct 27, 2022 Accepting new patients

Locations

9250 Corkscrew Rd
Ste 7
Estero, FL 33928
Phone (239) 498-2528

6376 Pine Ridge Rd
Naples, FL 34119
Phone (239) 263-0849

2180 Immokalee Rd
Ste 101
Naples, FL 34110
Phone (239) 514-2225

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1285248195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-302-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193908",
            "telephone_number": "239-514-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20081 Barletta Ln Unit 2823",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339286329",
            "country_code": "US",
            "telephone_number": "813-494-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "SUE-LAY",
        "middle_name": "D",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2022-04-13",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285248195",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.