Individual provider Active NPI

Sara Aileen Regino, MSN, APRN, AGPCNP-BC

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1497389050
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
APRN11006358 Issued in FL
Practice address
13207 Pike Lake Dr
Riverview, FL 33579-4039
Phone
(727) 259-8459
NPI assigned
Feb 23, 2020
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X APRN11006358 FL Primary
Adult Health Nurse Practitioner 363LA2200X NA FL

Addresses

Primary practice location

13207 Pike Lake Dr
Riverview, FL 33579-4039

Mailing address

13207 Pike Lake Dr
Riverview, FL 33579-4039
Phone (727) 259-8459

Other names 1

  • Sara A Maisonet Former name

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
I20200529001393 FL Practitioner - Nurse Practitioner 8426479429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Specialist of Manatee PLGroup PAC ID 1951387158, 3 clinicians

Practice addresses (Care Compare)

4502 Cortez Rd W
Suite 204
Bradenton, FL 34210-3124
Phone (941) 761-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11006358FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Disease Specialist of Manatee PL CurrentSince Sep 1, 2023 Accepting new patients
Total Gastroenterology PA CurrentSince Nov 6, 2020 Accepting new patients
Anesthesia Services of Manatee LLC PastSince May 16, 2021 Accepting new patients

Locations

4502 Cortez Rd W
Ste 204
Bradenton, FL 34210
Phone (941) 761-1800

8610 State Road 70 E
Bradenton, FL 34202
Phone (941) 242-1929

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1497389050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 PIKE LAKE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794039",
            "telephone_number": "727-259-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 PIKE LAKE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335794039",
            "telephone_number": "727-259-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINO",
        "first_name": "SARA",
        "middle_name": "AILEEN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN11006358",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MAISONET",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.