Individual provider Active NPI

Sandra Sepulveda, APRN

  • Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1578211199
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11019300 Issued in FL
Practice address
1150 N 35TH Ave Ste 330
Hollywood, FL 33021-5488
Phone
(954) 265-4325
Fax
(954) 981-3872
NPI assigned
Mar 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11019300 FL Primary
Nurse Practitioner 363L00000X AG01220040 FL

Addresses

Primary practice location

1150 N 35TH Ave Ste 330
Hollywood, FL 33021-5488

Mailing address

2900 Corporate Way # D
Miramar, FL 33025-3925

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sasepulveda@mhs.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Corporate Way
Door D
Miramar, FL 33025-3925

6855 S Red Rd
Suite 500
South Miami, FL 33143-3623

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
72.23
Promoting interoperability
99
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG01220040FLMDNurse Practitioner
APRN11019300FLMDNurse Practitioner

Hospital & facility affiliations 1

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": "1647129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1578211199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY # D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 330",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215488",
            "telephone_number": "954-265-4325",
            "fax_number": "954-981-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-13",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11019300",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "AG01220040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sasepulveda@mhs.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1150 N 35th Ave Ste 330",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.