Vickie Lynn Sorrell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9420904 Issued in FL

Practice address

4770 S Ridgewood Ave
Port Orange, FL 32127-4544

Phone

(386) 761-0050

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Town Center Medical Services LLCGroup PAC ID 1759517568, 5 clinicians

Urgent Care Center of Port Orange LLCGroup PAC ID 5890712806, 10 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Town Center Medical Services, LLC

  • Family Medicine Physician
  • Port Orange, FL
  • NPI 1427498724

  FL

  Medicare reassignment Care Compare group
• Urgent Care Center of Port Orange, LLC

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1891905378

  FL

  Medicare reassignment Care Compare group
• Adventist Health System Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  Family, FL

  Medicare reassignment NPD
• HN Ucc LLC

  • Urgent Care Clinic/Center
  • Daytona Beach, FL
  • NPI 1093308504

  FL

  Medicare reassignment NPD
• New Smyrna Beach Urgent Care, LLC

  • Basic Emergency Medical Technician
  • New Smyrna Beach, FL
  • NPI 1801126297

  FL

  Medicare reassignment NPD
• Primecare at Twin Lakes LLC

  • Urgent Care Clinic/Center
  • Daytona Beach, FL
  • NPI 1902809122

  FL

  Medicare reassignment NPD
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Family, FL

  Medicare reassignment NPD
• Adventist Health System/ Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Family

  NPD
• Adventist Health System/Sunbelt, Inc.

  • Urgent Care Clinic/Center
  • Longwood, FL
  • NPI 1487841276

  Family

  NPD
• Epn Urgent Care LLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1275624579
  NPD
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Titusville, FL
  • NPI 1750913091

  Family

  NPD
• Urgent Care Centers of Brevard County LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Family

  NPD

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1306114483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WARRIOR WAY",
            "city": "BELLE",
            "state": "WV",
            "postal_code": "250151356",
            "telephone_number": "304-949-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 S RIDGEWOOD AVE",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274544",
            "telephone_number": "386-761-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Grand Central Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261051079",
            "country_code": "US",
            "telephone_number": "304-485-3627",
            "fax_number": "304-295-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Warrior Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Belle",
            "state": "WV",
            "postal_code": "250151356",
            "country_code": "US",
            "telephone_number": "304-949-3591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2107 Pike St",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261016973",
            "country_code": "US",
            "telephone_number": "304-424-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 S I 35 Frontage RD",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78741",
            "country_code": "US",
            "telephone_number": "214-507-0794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Milliken Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293034906",
            "country_code": "US",
            "telephone_number": "877-278-9175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 Dunlawton Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321278980",
            "country_code": "US",
            "telephone_number": "386-271-2273",
            "fax_number": "386-271-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Tiger Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321241042",
            "country_code": "US",
            "telephone_number": "386-323-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Primary Care",
            "address_2": "4770 S Ridgwood Ave Suite 1",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "32127",
            "country_code": "US",
            "telephone_number": "386-761-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "VICKIE",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "58087",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9420904",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "2011007183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9420904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Something More
• George A. M. Sonbol, D.D.S.
• Sondra L Avant DDS Ms PA
• Sonus-USA, Inc.
• Sufian Jabbar Sorathia, M.D.
• Sovereign Healthcare of Port Orange, LLC
• Space Coast Spine LLC.
• Deanna Kingsley Springer, M.D.
• Spruce Creek Counseling, LLC
• Spruce Creek Family Care

• All providers in Port Orange, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.

Verify at the official NPI Registry.