Individual provider Active NPI

Candace P Staron, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1518622091
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016414 Issued in FL
Practice address
1801 S Osprey Ave Unit 201
Sarasota, FL 34239-3625
Phone
(419) 957-4767
Fax
(419) 955-7334
NPI assigned
Nov 1, 2021
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 APRN11016414 FL Primary

Addresses

Primary practice location

1801 S Osprey Ave Unit 201
Sarasota, FL 34239-3625

Mailing address

4197 Woodlands Pkwy
Palm Harbor, FL 34685-3493
Phone (813) 333-1512

Other identifiers 1

IdentifierTypeStateIssuer
116087800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cstaron@dmp.emadirect.md Direct

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
I20220105000132 FL Practitioner - Nurse Practitioner 0547651374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Harbor Dermatology PAGroup PAC ID 4789758558, 33 clinicians

Practice addresses (Care Compare)

5310 Clark Rd
Suite 201
Sarasota, FL 34233-3229
Phone (941) 925-3627

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Harbor Dermatology PA CurrentSince Dec 1, 2022 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Feb 24, 2025 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Feb 24, 2025 Accepting new patients

Locations

406 N Indiana Ave
Englewood, FL 34223
Phone (941) 222-1640

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

2481 Bobcat Village Center Rd
Unit 101
North Port, FL 34288
Phone (941) 538-7319

4197 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-3810

1801 S Osprey Ave
Unit 201
Sarasota, FL 34239
Phone (419) 957-4767

5310 Clark Rd
Ste 201
Sarasota, FL 34233
Phone (941) 925-3627

4919 Memorial Hwy
Ste 150
Tampa, FL 33634

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cstaron@dmp.emadirect.md

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1518622091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 WOODLANDS PKWY",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853493",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S OSPREY AVE UNIT 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393625",
            "telephone_number": "419-957-4767",
            "fax_number": "419-955-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARON",
        "first_name": "CANDACE",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116087800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cstaron@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1801 S Osprey Ave Unit 201",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.