Individual provider Active NPI

Kristen Nicole Sagner-Clark, APRN

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1528836343
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9437619 Issued in FL
Practice address
1111 SE Federal Hwy Ste 228
Stuart, FL 34994-3834
Phone
(772) 485-7038
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 9437619 FL Primary

Addresses

Primary practice location

1111 SE Federal Hwy Ste 228
Stuart, FL 34994-3834

Mailing address

1111 SE Federal Hwy Ste 228
Stuart, FL 34994-3834
Phone (772) 485-7038

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
I20250217003294 FL Practitioner - Nurse Practitioner 5597285817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seegott Health LLCGroup PAC ID 6709249212, 4 clinicians

Practice addresses (Care Compare)

1165 SW 27TH St
Palm City, FL 34990-2907
Phone (772) 255-6565

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • Anchor Home Health Services, LLC Home health agency, Stuart, FL, CCN 107747
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9437619FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seegott Health LLC CurrentSince Nov 11, 2024 Accepting new patients
Andi'S Integrated Health Care,LLC Family PastSince Dec 1, 2023 Accepting new patients

Locations

1165 SW 27th St
Palm City, FL 34990
Phone (772) 255-6565

Interoperability endpoints

  • Direct secure messaging: kristen.sagner@642504009842692.direct.elationemr.com

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.

Hospital & facility affiliations 3

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1528836343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 228",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943834",
            "telephone_number": "772-485-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SE FEDERAL HWY STE 228",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943834",
            "telephone_number": "772-485-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGNER-CLARK",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9437619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.