NPIMap

Individual provider Active NPI

Sheri Anne Borchardt, ARNP

  • Family Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1700337458
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9294178 Issued in FL
Practice address
1289 SW State Road 47
Lake City, FL 32025-0484
Phone
(386) 755-0421
NPI assigned
Oct 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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 9294178 FL Primary

Addresses

Primary practice location

1289 SW State Road 47
Lake City, FL 32025-0484

Mailing address

1289 SW State Road 47
Lake City, FL 32025-0484
Phone (386) 755-0421

Other names 1

  • Sheri Anne Daniels Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609002098 FL Practitioner - Nurse Practitioner 0941581680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mercy Medical Urgent Care CenterGroup PAC ID 1456578665, 8 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

221 SW Stonegate Ter
Suite 101
Lake City, FL 32024-3463
Phone (386) 755-0421

2786 W US Hwy 90
Suite 105
Lake City, FL 32055-7723
Phone (386) 758-2944

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Lake City, FL, CCN 107420
  • Concierge Home Care Home health agency, Lake City, FL, CCN 687144
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9294178FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nahed S. Sobhy M.D. P.a. Current Accepting new patients
Mercy Medical Urgent Care Center CurrentSince Jun 1, 2023 Accepting new patients
The Primary Care Center of Lake City Richard L. Wright Jr MD, PA CurrentSince Jun 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

221 SW Stonegate Ter
Ste 101
Lake City, FL 32024
Phone (386) 292-7744

1289 SW State Road 47
Lake City, FL 32025
Phone (386) 755-0421

2786 W US Highway 90
Ste 105
Lake City, FL 32055
Phone (386) 758-2944

Interoperability endpoints

  • Direct secure messaging: sborchardt@tpccolcrlwjm-fl.direct.office.nextgen.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1700337458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "386-755-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "386-755-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHARDT",
        "first_name": "SHERI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9294178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "DANIELS",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

Verify at the official NPI Registry.