Sarah Dahrens, APRN
Individual provider Active NPI Family Nurse Practitioner · Crawfordville, FL
NPI 1366280786 · NPPES record last updated Jul 18, 2024
Key facts
- NPI
- 1366280786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 54948 (WY)
- Practice address
- 60 Provo PL
Crawfordville, FL 32327-2732 - Phone
- (334) 782-3546
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2350 N University Dr
Suite 841224
Pembroke Pines, FL 33084-4100
2605 W Atlantic Ave
Delray Beach, FL 33445-4414
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WY, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240913002057 | WY | Practitioner - Nurse Practitioner | 0648710871 | Reassigns benefits to 1 organization |
| I20260130001072 | FL | Practitioner - Nurse Practitioner | 0648710871 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, LLC | Current |
Accepting new patients | |
| Foundation for Sickle Cell Disease Research | Current |
Accepting new patients | |
| Ivinson Memorial Hospital | Past | Accepting new patients | |
| Foundation for Sickle Cell Disease Research | Past |
Accepting new patients |
Locations
1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600
2056 Centre Pointe Ln
Ste B
Tallahassee, FL 32308
214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221
255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFEDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 54948 | WY | Yes |
Addresses
Primary practice location
60 Provo PL
Crawfordville, FL 32327-2732
Mailing address
60 Provo PL
Crawfordville, FL 32327-2732
Phone (334) 782-3546
Other names
- Sarah Wiedeman
Other providers in Crawfordville, FL
- William Joe Crunk III
- Jillian Blackman Crymes
- Justin Lee Crymes
- Ronda Lee Curtis
- Bob Cutlip
- Courtney Lane Davis
- Jennifer Dean
- Dennis R. Mooney DDS, LLC
- Disc Village, Inc.
- Doc Haley Enterprises, LLC
All providers in Crawfordville, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.