Active NPI
Tashelle Sewell
- Family Nurse Practitioner
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11017770
- Practice address
- 4131 NW 79TH Ave
Sunrise, FL 33351-6389 - Phone
- (954) 638-6527
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11017770 | FL | Primary |
Addresses
Primary practice location
4131 NW 79TH Ave
Sunrise, FL 33351-6389
Mailing address
4131 NW 79TH Ave
Sunrise, FL 33351-6389
Phone (954) 638-6527
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000
Hospital & facility affiliations
- Cleveland Clinic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11017770 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Cleveland Clinic Florida a Nonprofit Corporation | Current | Accepting new patients | |
| Martin Memorial Medical Center Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients |
Locations
1095 NW Saint Lucie West Blvd
Ste 102
Port Saint Lucie, FL 34986
Phone (772) 223-2896
3801 S Kanner Hwy
Fl 3
Stuart, FL 34994
Phone (772) 223-4999
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
3450 11th Ct
Ste 301
Vero Beach, FL 32960
Phone (772) 563-4741
2950 Cleveland Clinic Blvd
Weston, FL 33331
Phone (954) 689-5000
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 and National Provider Directory roles.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Urgent Care Clinic/Center
- Stuart, FL
- NPI 1154962918
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Weston, FL
- NPI 1083644033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1720734833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 NW 79TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516389",
"telephone_number": "954-638-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 NW 79TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516389",
"telephone_number": "954-638-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "TASHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11017770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.