Individual provider Active NPI

Sandra P Mogollon Saker, APRN

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1881442762
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11031685 Issued in FL
Practice address
7243 Della Dr Ste H
Orlando, FL 32819-5106
Phone
(407) 381-7336
Fax
(321) 203-4668
NPI assigned
May 7, 2024
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11031685 FL Primary
Family Nurse Practitioner 363LF0000X APRN11031685 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN11031685 FL

Addresses

Primary practice location

7243 Della Dr Ste H
Orlando, FL 32819-5106

Mailing address

7243 Della Dr Ste H
Orlando, FL 32819-5106
Phone (407) 381-7336

Other practice location 1

1221 71st St
Miami Beach, FL 33141-3647
Phone (305) 538-8835

Other practice location 2

11645 Biscayne Blvd Ste 302-304
North Miami, FL 33181-3155
Phone (305) 538-8835

Other practice location 3

710 Alton Rd
Miami Beach, FL 33139-5504
Phone (305) 538-8835

Other identifiers 1

IdentifierTypeStateIssuer
123044600MedicaidFL

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
I20240802001232 FL Practitioner - Nurse Practitioner 4486191855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11645 Biscayne Blvd
North Miami, FL 33181-3155
Phone (305) 538-8835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031685FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Community Health Center Inc CurrentSince Jul 4, 2024 Accepting new patients
Miami Beach Community Health Center Inc Current Accepting new patients
Miami Beach Community Health Center, Inc. CurrentSince Jul 4, 2024 Accepting new patients
Orlando Health Medical Group Inc PastSince May 1, 2026 Accepting new patients
Orlando Health Medical Group Inc PastSince May 1, 2026 Accepting new patients
Miami Beach Community Health Center Inc Past Accepting new patients

Locations

1221 71st St
Miami Beach, FL 33141

710 Alton Rd
Miami Beach, FL 33139

11645 Biscayne Blvd
Ste 207
North Miami, FL 33181
Phone (704) 297-9229

11645 Biscayne Blvd
Ste 308
North Miami, FL 33181
Phone (305) 895-0010

11645 Biscayne Blvd
Ste 309
North Miami, FL 33181
Phone (867) 920-2021

11645 Biscayne Blvd
Ste 408
North Miami, FL 33181

Organizations & group practices 6

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1881442762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195106",
            "telephone_number": "407-381-7336",
            "fax_number": "321-203-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7243 DELLA DR STE H",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195106",
            "telephone_number": "407-381-7336",
            "fax_number": "321-203-4668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 71st St",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331413647",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11645 Biscayne Blvd Ste 302-304",
            "address_purpose": "LOCATION",
            "city": "North Miami",
            "state": "FL",
            "postal_code": "331813155",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Alton Rd",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331395504",
            "country_code": "US",
            "telephone_number": "305-538-8835",
            "fax_number": "305-994-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGOLLON SAKER",
        "first_name": "SANDRA",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11031685",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031685",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11031685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123044600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.