Carmen Marie Sutphen, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11023005 Issued in FL

Practice address

921 S Beneva Rd
Sarasota, FL 34232-2401

Phone

(941) 365-7390

Fax

(941) 365-5469

NPI assigned

Nov 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carmen Melendrez Former name

Electronic endpoints 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nokomis Physical Therapy LLCGroup PAC ID 8628240843, 104 clinicians

Intercoastal Medical Group IncGroup PAC ID 6305730912, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen.sutphen@img.directbygreenway.com

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.

• Intercoastal Medical Group Inc

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1578537767
  Medicare reassignment Care Compare group NPD
• Nokomis Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Nokomis, FL
  • NPI 1780964973
  Care Compare group

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

• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1407564180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S BENEVA RD STE 306",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322499",
            "telephone_number": "941-955-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S BENEVA RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322401",
            "telephone_number": "941-365-7390",
            "fax_number": "941-365-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTPHEN",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11023005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Carmen.Sutphen@img.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "921 S Beneva Rd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342322401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MELENDREZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Sloan OD
• Joann Susanno, D.C.
• Nicholas J Sutera Jr., M.D.
• Dean Patrick Sutherland, MD
• John G Sutherland, PT
• Brandee Paige Sutphin, PT
• Emma Suttie, D.AC, AP
• Michael Sutton, DMD
• William Charles Sutton, D.P.M.
• Jay Marshall Suverkrup, DMD, PA

• Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.