Individual provider Active NPI

Sara Marie Ocampo Denslow, APRN

  • Family Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1669092110
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006902 Issued in FL
Practice address
100 Arricola Ave
Saint Augustine, FL 32080-4515
Phone
(904) 825-4368
NPI assigned
Apr 23, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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 APRN11006902 FL Primary

Addresses

Primary practice location

100 Arricola Ave
Saint Augustine, FL 32080-4515

Mailing address

100 Arricola Ave
Saint Augustine, FL 32080-4515
Phone (904) 825-4368

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
I20200602000898 FL Practitioner - Nurse Practitioner 0749601664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

100 Arricola Ave
Saint Augustine, FL 32080-4515
Phone (904) 825-4368

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006902FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Doctors Intrastate LLC CurrentSince Jan 23, 2021 Accepting new patients
Roy H Hinman MD PA CurrentSince Jun 8, 2020 Accepting new patients

Locations

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

2460 Old Moultrie Rd
Ste 2
St Augustine, FL 32086
Phone (904) 293-0299

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1669092110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARRICOLA AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804515",
            "telephone_number": "904-825-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENSLOW",
        "first_name": "SARA",
        "middle_name": "MARIE OCAMPO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.