Individual provider Active NPI

Sage Anne Keckstein, PA

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1730910860
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119766 Issued in FL
Practice address
5741 Bee Ridge Rd Ste 450
Sarasota, FL 34233-5081
Phone
(941) 951-2663
NPI assigned
Aug 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119766 FL Primary

Addresses

Primary practice location

5741 Bee Ridge Rd Ste 450
Sarasota, FL 34233-5081

Mailing address

6716 1St Ave W
Bradenton, FL 34209-2277
Phone (941) 524-1127

Other practice location 1

1115 W Call St
Tallahassee, FL 32304-3556
Phone (941) 524-1127

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
I20250218000247 FL Practitioner - Physician Assistant 3971023201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 261-9000

5741 Bee Ridge Rd
Sarasota, FL 34233-5064
Phone (941) 342-1303

5741 Bee Ridge Rd
Suite 450
Sarasota, FL 34233-5081
Phone (941) 951-2663

660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9119766FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Jan 2, 2025 Accepting new patients
Ortho Florida, LLC CurrentSince Jan 2, 2025 Accepting new patients
Sarasota Orthopedic Associates LLC Past Accepting new patients

Locations

660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792

5985 Silver Falls Run
Lakewood Ranch, FL 34211
Phone (941) 202-2055

5504 Pinebrook Rd
Ste 201
North Venice, FL 34275
Phone (941) 552-3318

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

5741 Bee Ridge Rd
Ste 450
Sarasota, FL 34233
Phone (941) 214-2864

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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 3

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": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1730910860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 1ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092277",
            "telephone_number": "941-524-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5741 BEE RIDGE RD STE 450",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335081",
            "telephone_number": "941-951-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 W Call St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323043556",
            "country_code": "US",
            "telephone_number": "941-524-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECKSTEIN",
        "first_name": "SAGE",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.