Individual provider Active NPI

Sandra T. F Van Gennip, ARNP

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1619466406
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9355129 Issued in FL
Practice address
3930 Westminster Dr
Sarasota, FL 34241
Phone
(941) 374-6235
NPI assigned
May 7, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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 ARNP9355129 FL Primary

Addresses

Primary practice location

3930 Westminster Dr
Sarasota, FL 34241

Mailing address

3930 Westminster Dr
Sarasota, FL 34241-5853
Phone (941) 374-6235

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
I20180814001209 FL Practitioner - Nurse Practitioner 1759630478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarasota Spine and Sport Chiropractic ClinicGroup PAC ID 8426293127, 5 clinicians

Practice addresses (Care Compare)

2565 N Toledo Blade Blvd
Suite 3
North Port, FL 34289-9306
Phone (412) 212-0123

3900 Clark Rd
Suite H1
Sarasota, FL 34233-2366
Phone (941) 926-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sarasota Spine & Sport Chiropractic Clinic CurrentSince Jan 16, 2024 Accepting new patients
Sarasota Spine & Sport Chiropractic Clinic CurrentSince Jan 16, 2024 Accepting new patients
Senior Xpress Care LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

3900 Clark Rd
Ste H1
Sarasota, FL 34233
Phone (941) 926-1600

5602 Marquesas Cir
Ste 101
Sarasota, FL 34233
Phone (941) 921-7788

Organizations & group practices 4

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1619466406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WESTMINSTER DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342415853",
            "telephone_number": "941-374-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WESTMINSTER DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34241",
            "telephone_number": "941-374-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN GENNIP",
        "first_name": "SANDRA",
        "middle_name": "T. F",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9355129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.