Individual provider Active NPI

Sarah Roberts, NP

  • Gerontology Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1508242124
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9277929 Issued in FL
Practice address
797 N Sr 434
Altamonte Springs, FL 32714-7233
Phone
(407) 862-7272
Fax
(407) 862-6444
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X ARNP9277929 FL Primary

Addresses

Primary practice location

797 N Sr 434
Altamonte Springs, FL 32714-7233

Mailing address

797 N Sr 434
Altamonte Springs, FL 32714-7233
Phone (407) 862-7272

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
I20150909003117 FL Practitioner - Nurse Practitioner 5799092623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspring Health - Orange City, LLCGroup PAC ID 5193093490, 4 clinicians

Practice addresses (Care Compare)

2275 N Volusia Ave
Suite 100
Orange City, FL 32763-2833
Phone (386) 775-6879

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspring Health - Daytona Beach, LLC CurrentSince Jun 5, 2019 Accepting new patients

Locations

755 Westmoreland Rd
Daytona Beach, FL 32114
Phone (386) 226-0011

701 Ridgewood Ave
#B
Holly Hill, FL 32117
Phone (386) 775-6879

2415 S Volusia Ave
Ste A2
Orange City, FL 32763
Phone (386) 775-0905

2275 N Volusia Ave
Ste 100
Orange City, FL 32763
Phone (386) 775-6879

Organizations & group practices 2

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": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1508242124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 N SR 434",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147233",
            "telephone_number": "407-862-7272",
            "fax_number": "407-862-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 N SR 434",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147233",
            "telephone_number": "407-862-7272",
            "fax_number": "407-862-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9277929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.