Individual provider Active NPI

Anne Marie Jetton, MSN, APRN, AGPC-C

  • Primary Care Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1851050371
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11016487 Issued in FL
Practice address
2253 Goldenrod St
Sarasota, FL 34239-5318
Phone
(941) 266-1922
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11016487 FL Primary

Addresses

Primary practice location

2253 Goldenrod St
Sarasota, FL 34239-5318

Mailing address

2253 Goldenrod St
Sarasota, FL 34239-5318
Phone (941) 266-1922

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
I20220407001463 FL Practitioner - Nurse Practitioner 2062803885 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

Practice addresses (Care Compare)

2253 Goldenrod St
Sarasota, FL 34239-5318

6564 Big Bayou Dr
Sarasota, FL 34241-1221
Phone (941) 266-1922

Hospital & facility affiliations

  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Wellness Medicine, LLC CurrentSince Dec 20, 2021 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Jan 28, 2024 Accepting new patients
Heal Precisely of Tampa Bay LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

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": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1851050371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 GOLDENROD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395318",
            "telephone_number": "941-266-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 GOLDENROD ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342395318",
            "telephone_number": "941-266-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, AGPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11016487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.