Individual provider Active NPI

Sergelyne Desousces

  • Psychiatric/Mental Health Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1598302176
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11002634 Issued in FL
Practice address
570 Lexington Green LN Ste Bsanford
Sanford, FL 32771-1026
Phone
(321) 209-4040
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11002634 FL Primary
Family Nurse Practitioner 363LF0000X APRN11002634 FL

Addresses

Primary practice location

570 Lexington Green LN Ste Bsanford
Sanford, FL 32771-1026

Mailing address

11882 SW 16TH St
Pembroke Pines, FL 33025-3796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA, CA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200423003332 FL Practitioner - Nurse Practitioner 8729418207 Reassigns benefits to 5 organizations
I20250915002440 WA Practitioner - Nurse Practitioner 8729418207 Reassigns benefits to 1 organization
I20260418000371 CA Practitioner - Nurse Practitioner 8729418207 Reassigns benefits to 1 organization
I20260501002692 NY Practitioner - Nurse Practitioner 8729418207 Reassigns benefits to 1 organization

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
Sleep Reset Medical Group PAGroup PAC ID 9638699291, 11 clinicians
Isaac Health, P.a.Group PAC ID 1850767880, 27 clinicians
Moona Medical Group of California PCGroup PAC ID 2365955630, 25 clinicians

Practice addresses (Care Compare)

2332 Galiano St
FL 2
Coral Gables, FL 33134-5402
Phone (862) 235-4743

4530 S Orange Blossom TRL
Suite 768
Orlando, FL 32839-1704
Phone (888) 818-2059

534 Steiner St
San Francisco, CA 94117-2523
Phone (405) 400-0633

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002634FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Isaac Health, P.a. CurrentSince Sep 15, 2025 Accepting new patients
Coastal Psychiatric Walk-in Corp CurrentSince Jul 24, 2024 Accepting new patients
MCR Health, Inc. Family CurrentSince Apr 8, 2024 Accepting new patients
Sleep Reset Medical Group PA Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Medtriq LLC CurrentSince Aug 1, 2025 Accepting new patients
NP Health of FL LLC CurrentSince Jul 1, 2022 Accepting new patients
Banyan Treatment and Recovery, LLC Past Accepting new patients
Banyan Castle Rock, LLC Past Accepting new patients
Tele Med Clinix Lousiana PastSince Jun 30, 2024 Accepting new patients
Tele Med Clinix LLC PastSince Feb 1, 2024 Accepting new patients

Locations

9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

1335 Valentine St
Melbourne, FL 32901
Phone (321) 586-5444

4530 S Orange Blossom Trl
Orlando, FL 32839
Phone (321) 837-9745

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1598302176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11882 SW 16TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LEXINGTON GREEN LN STE BSANFORD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711026",
            "telephone_number": "321-209-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUSCES",
        "first_name": "SERGELYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11002634",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.