Individual provider Active NPI

Sara Kendall Polito, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sebastian, FL
National Provider Identifier
1598549768
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028048 Issued in FL
Practice address
13110 US Highway 1
Sebastian, FL 32958-3735
Phone
(386) 690-4941
NPI assigned
Aug 21, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 11028048 FL Primary

Addresses

Primary practice location

13110 US Highway 1
Sebastian, FL 32958-3735

Mailing address

7575 Pelican Bay Blvd Apt 301
Naples, FL 34108-7592

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
I20231220000101 FL Practitioner - Nurse Practitioner 0345690145 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

Practice addresses (Care Compare)

13110 US Hwy 1
Sebastian, FL 32958-3735
Phone 77258189001

Merit-based Incentive Payment System (MIPS)

Final score
86.68 of 100Reported as group
Quality
77.69
Promoting interoperability
99
Improvement activities
40
Cost
72.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028048FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vascular Solutions, LLC Current Accepting new patients
Advanced Vascular Solutions, LLC CurrentSince Dec 1, 2023 Accepting new patients
Advanced Vascular Solutions, LLC Past Accepting new patients

Locations

1250 S Harbor City Blvd
Melbourne, FL 32901
Phone (321) 725-8919

709 S Harbor City Blvd
Ste 200
Melbourne, FL 32901
Phone (321) 725-8919

13100 US Highway 1
Sebastian, FL 32958
Phone (772) 581-8900

13110 US Highway 1
Sebastian, FL 32958
Phone (772) 272-9963

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sara.polito.1@21785.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1598549768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 PELICAN BAY BLVD APT 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341087592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583735",
            "telephone_number": "386-690-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "SARA",
        "middle_name": "KENDALL",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.