Individual provider Active NPI

Sarah Pearce, FNP-BC

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1881169464
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9324556 Issued in FL
Practice address
2777 University Blvd W Ste 26
Jacksonville, FL 32217-2143
Phone
(904) 633-0475
NPI assigned
Oct 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201804715NP-PP OR
Family Nurse Practitioner 363LF0000X APRN9324556 FL Primary

Addresses

Primary practice location

2777 University Blvd W Ste 26
Jacksonville, FL 32217-2143

Mailing address

4623 Manchester Rd
Jacksonville, FL 32210-4233
Phone (904) 236-9596

Other practice location 1

330 S Chiloquin Blvd
Chiloquin, OR 97624-6747
Phone (541) 882-1487

Other names 1

  • Sarah O'Brien Former name

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
I20220615002049 FL Practitioner - Nurse Practitioner 1355688128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 20, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 20, 2022 Accepting new patients

Locations

2777 University Blvd W
Ste 26
Jacksonville, FL 32217
Phone (904) 633-0475

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1881169464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 MANCHESTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104233",
            "telephone_number": "904-236-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 UNIVERSITY BLVD W STE 26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172143",
            "telephone_number": "904-633-0475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S Chiloquin Blvd",
            "address_purpose": "LOCATION",
            "city": "Chiloquin",
            "state": "OR",
            "postal_code": "976246747",
            "country_code": "US",
            "telephone_number": "541-882-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "SARAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201804715NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9324556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "O'BRIEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.