Individual provider Active NPI

Sherry Lynne Piasecki, APRN

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1396410403
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014477 Issued in FL
Practice address
2177 SE Ocean Blvd
Stuart, FL 34996-3305
Phone
(772) 281-1520
Fax
(772) 210-5313
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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 APRN11014477 FL Primary

Addresses

Primary practice location

2177 SE Ocean Blvd
Stuart, FL 34996-3305

Mailing address

2177 SE Ocean Blvd
Stuart, FL 34996-3305
Phone (772) 281-1520

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
I20210909001569 FL Practitioner - Nurse Practitioner 3971913054 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Dec 1, 2023 Accepting new patients
Validity Laboratory Services LLC CurrentSince Nov 5, 2019 Accepting new patients
Mobile Anesthesia Associates LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

111 SE Osceola St
Stuart, FL 34994
Phone (772) 242-7720

2177 SE Ocean Blvd
#C
Stuart, FL 34996
Phone (772) 281-1520

2177 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 230-4260

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

111 SE Osceola St
#200
Stuart, FL 34994
Phone (772) 242-7720

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Interoperability endpoints

  • Direct secure messaging: sherry.piasecki.1@30104.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1396410403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-281-1520",
            "fax_number": "772-210-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-281-1520",
            "fax_number": "772-210-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASECKI",
        "first_name": "SHERRY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.