Individual provider Active NPI

Sandra Purcell, MSN, RN CPNP-PC

  • Pediatric Nurse Practitioner
  • Gainesville, FL
National Provider Identifier
1770066961
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11043110 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone
(352) 273-8379
Fax
(352) 294-8098
NPI assigned
Sep 13, 2018
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95032513 CA
Pediatric Nurse Practitioner 363LP0200X 7849 CT
Pediatric Nurse Practitioner 363LP0200X APRN11043110 FL Primary
Pediatric Nurse Practitioner 363LP0200X RN264027 MA

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-3003

Mailing address

30 Shattuck Rd Unit 4212
Andover, MA 01810-2481
Phone (413) 265-5282

Other practice location 1

290 Western Blvd
Glastonbury, CT 06033-1236
Phone (617) 355-6008

Other practice location 2

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 722-4842

Other identifiers 1

IdentifierTypeStateIssuer
129129000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NC, CA, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190129003309 CT Practitioner - Nurse Practitioner 2769729763 Reassigns benefits to 1 organization
I20190926002345 NC Practitioner - Nurse Practitioner 2769729763 Reassigns benefits to 1 organization
I20250913000079 CA Practitioner - Nurse Practitioner 2769729763 Reassigns benefits to 1 organization
I20251119002151 FL Practitioner - Nurse Practitioner 2769729763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1910 Customer Care Way
Atwater, CA 95301-5167

PO Box
Gainesville, FL 32610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95032513CAMDPediatric Nurse Practitioner
APRN11043110FLMDPediatric Nurse Practitioner
RN264027MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Nov 12, 2025 Accepting new patients
Golden Valley Health Centers CurrentSince Sep 1, 2025 Accepting new patients
Bladen Healthcare LLC CurrentSince Aug 14, 2019 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Dec 9, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 12, 2025 Accepting new patients
Connecticut Children's Specialty Group, Inc. Pediatrics CurrentSince Dec 9, 2018 Accepting new patients
Golden Valley Health Center CurrentSince Sep 1, 2025 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Jul 17, 2023 Accepting new patients
Bladen Healthcare LLC CurrentSince Aug 14, 2019 Accepting new patients
Golden Valley Health Center Past Accepting new patients
Mattapan Community Health Center Inc Past Accepting new patients
Boston Pediatric Neurosurgical Foundation, Inc. Pediatrics Past Accepting new patients

Locations (25 of 26)

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

290 Western Blvd
Glastonbury, CT 06033
Phone (860) 284-5263

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Ofc
Hartford, CT 06106

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

Interoperability endpoints

  • Direct secure messaging: sandra.purcell.npi1770066961.phpct@direct.optumcare.masshiway.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1770066961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SHATTUCK RD UNIT 4212",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018102481",
            "telephone_number": "413-265-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103003",
            "telephone_number": "352-273-8379",
            "fax_number": "352-294-8098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Western Blvd",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060331236",
            "country_code": "US",
            "telephone_number": "617-355-6008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1524 McHenry Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504500",
            "country_code": "US",
            "telephone_number": "209-722-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "SANDRA",
        "credential": "MSN, RN CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95032513",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "7849",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11043110",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN264027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129129000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.