Sergio Enrique Pedraza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021096609 Issued in FL

Practice address

801 W Bay Dr Ste 605
Largo, FL 33770-3268

Phone

(727) 489-3305

NPI assigned

Apr 18, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Value Based Long Term Care F PCGroup PAC ID 2769922731, 18 clinicians

Legacy Health Medical Group, LLCGroup PAC ID 5193962173, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspire Home Care Home health agency, Clearwater, FL, CCN 683187
• Palm Garden Home Health Home health agency, Seminole, FL, CCN 108124

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Value Based Long Term Care F PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Largo, FL
  • NPI 1831921360

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Legacy Health Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Largo, FL
  • NPI 1881942779
  Medicare reassignment Care Compare group
• Careconnectmd Florida P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1912632886

  Multi-Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Almendral Partners LLC

  • Home Health Agency
  • Clearwater, FL
  • NPI 1144621806
  Care Compare affiliation
• Palm Breezes Home Health Services, LLC

  • Home Health Agency
  • Seminole, FL
  • NPI 1053718817
  Care Compare affiliation

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1366185241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14214 PONDHAWK LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253207",
            "telephone_number": "813-863-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 605",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703268",
            "telephone_number": "727-489-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "SERGIO",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2021096609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pease
• Christy A Peck, M.D.
• John A Peck, HIS
• Pediatric Health Care Alliance, PA
• Pediatrix Medical Group of Florida Inc
• Joyce Pellegrini, P.T.A
• Beatriz Pena
• Daymi L Pena
• Daniel Penello, M.D. MBA
• Peninsula Pediatrics of West Florida, PLLC

• Family Nurse Practitioner in Largo, FL
• Providers in Largo, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.