Individual provider Active NPI

Tashelle Sewell

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1720734833
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017770 Issued in FL
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

Updated by the provider on Feb 28, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428000947 FL Practitioner - Nurse Practitioner 0941697577 Reassigns benefits to 3 organizations

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
Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

2950 Cleveland Clinic Blvd
Weston, FL 33331-3609
Phone (954) 659-5000

Hospital & facility affiliations

  • Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
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

LicenseStateTypeSpecialty
APRN11017770FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc Current Accepting new patients
Cleveland Clinic Florida a Nonprofit Corporation CurrentSince Aug 18, 2022 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Nov 17, 2025 Accepting new patients
Indian River Health Services Inc CurrentSince Nov 13, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.