Individual provider Active NPI

Sarah Katherine Cornwell, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1821649021
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004294 Issued in FL
Practice address
12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone
(352) 556-5216
Fax
(352) 556-5218
NPI assigned
Sep 28, 2019
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 APRN11004294 FL Primary

Addresses

Primary practice location

12220 Cortez Blvd
Brooksville, FL 34613-2631

Mailing address

12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 556-5216

Other identifiers 1

IdentifierTypeStateIssuer
104452100MedicaidFL

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
I20191108002816 FL Practitioner - Nurse Practitioner 7719319953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care One of Florida LLCGroup PAC ID 5496752347, 14 clinicians

Practice addresses (Care Compare)

12220 Cortez Blvd
Brooksville, FL 34613-2631
Phone (352) 556-5216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11004294FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care One of Florida LLC CurrentSince Oct 15, 2019 Accepting new patients

Locations

12220 Cortez Blvd
Brooksville, FL 34613
Phone (352) 556-5216

7117 State Road 52
Hudson, FL 34667
Phone (727) 866-2128

11115 County Line Rd
Spring Hill, FL 34609
Phone (352) 666-9990

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1821649021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-556-5216",
            "fax_number": "352-556-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346132631",
            "telephone_number": "352-556-5216",
            "fax_number": "352-556-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "SARAH",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104452100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.