Individual provider Active NPI

Sarah Elizabeth Mayer, ARNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1477796589
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9259552 Issued in FL
Practice address
4640 S 25TH St
Fort Pierce, FL 34981-5057
Phone
(772) 466-8884
Fax
(772) 466-8832
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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 ARNP9259552 FL Primary

Addresses

Primary practice location

4640 S 25TH St
Fort Pierce, FL 34981-5057

Mailing address

4640 S 25TH St
Fort Pierce, FL 34981-5057
Phone (772) 466-8884

Other identifiers 1

IdentifierTypeStateIssuer
BR680ZOtherFLCCN: 920913185629-002

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
I20090519000585 FL Practitioner - Nurse Practitioner 1850440900 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michele F Libman MD PA CurrentSince Oct 21, 2017 Accepting new patients
PCC Medical Holdings LLC CurrentSince Dec 31, 2021 Accepting new patients
Coquelet and Punger Family Medicine PA Past Accepting new patients

Locations

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1801 SE Hillmoor Dr
Ste A-109
Port St Lucie, FL 34952
Phone (772) 212-7049

1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560

1980 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 210-5450

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sarah.mayer.1@32578.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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1477796589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815057",
            "telephone_number": "772-466-8884",
            "fax_number": "772-466-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349815057",
            "telephone_number": "772-466-8884",
            "fax_number": "772-466-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9259552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN: 920913185629-002",
            "identifier": "BR680Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.