Jaclyn Sheri Nadler, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME109567 Issued in FL

Practice address

1861 Placida Rd Ste 202
Englewood, FL 34223-4949

Phone

(941) 275-1234

Fax

(866) 280-9677

NPI assigned

Oct 2, 2006

Last updated

Jul 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Venice, FL, CCN 107522
• HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

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.

• Harbor Hospitalists LLC

  • Hospitalist Physician
  • Port Charlotte, FL
  • NPI 1891945903
  NPD (past)
• Inpatient Consultants of Florida, Inc

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1396795597
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Florida, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Venice, FL
  • NPI 1992753768
  Care Compare affiliation
• Englewood Community Hospital, Inc.

  dba HCA Florida Englewood Hospital

  • General Acute Care Hospital
  • Englewood, FL
  • NPI 1639122864
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1932292646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 202",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234949",
            "telephone_number": "941-275-1234",
            "fax_number": "866-280-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 202",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234949",
            "telephone_number": "941-275-1234",
            "fax_number": "866-280-9677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Tamiami Trl",
            "address_2": "204",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339528157",
            "country_code": "US",
            "telephone_number": "941-391-5496",
            "fax_number": "941-875-9875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1861 Placida Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342234949",
            "country_code": "US",
            "telephone_number": "941-780-3490",
            "fax_number": "866-280-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADLER",
        "first_name": "JACLYN",
        "middle_name": "SHERI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COASTALMED DPC LLC",
            "identifier": "1932292646",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Mroz
• Amanda Mariah Munden
• Elaine M. Murphy, PHYSICAL THERAPIST
• Patricia Murtha, PA
• Jihad Ali Mustapha, M.D.
• Bhashini Nagalla
• Teresa A Nardontonia, MSN,ARNP
• National Cardiac and Vascular Consultant LLC
• Norma I Sanchez PA
• Lorrie Morgan Norman, APRN

• Internal Medicine Physician in Englewood, FL
• Providers in Englewood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.