NPIMap

Individual provider Active NPI

Sherry Denise Sanders, APRN

  • Family Nurse Practitioner
  • Macclenny, FL
National Provider Identifier
1952992802
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011288 Issued in FL
Practice address
802 S 6TH St
Macclenny, FL 32063-9608
Phone
(904) 383-1777
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9361931 FL
Family Nurse Practitioner 363LF0000X APRN11011288 FL Primary

Addresses

Primary practice location

802 S 6TH St
Macclenny, FL 32063-9608

Mailing address

802 S 6TH St
Macclenny, FL 32063-9608
Phone (904) 383-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018001873 FL Practitioner - Nurse Practitioner 9537567896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

450077 State Rd
Suite 12
Callahan, FL 32011-3863
Phone (904) 633-0560

802 S 6TH St
Macclenny, FL 32063-9608
Phone (904) 383-1777

Hospital & facility affiliations

  • Hometown Home Health LLC Home health agency, Macclenny, FL, CCN 687054
  • Concierge Home Care Home health agency, Orange Park, FL, CCN 109771
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001
  • Ed Fraser Memorial Hospital Hospital, Macclenny, FL, CCN 100134

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

State licenses

LicenseStateTypeSpecialty
RN9361931FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients

Locations

450077 State Road 200
Ste 12
Callahan, FL 32011
Phone (904) 633-0560

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

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

802 S 6th St
Macclenny, FL 32063
Phone (904) 383-1777

Organizations & group practices 8

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 5

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1952992802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320639608",
            "telephone_number": "904-383-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 6TH ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320639608",
            "telephone_number": "904-383-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "SHERRY",
        "middle_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9361931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

Verify at the official NPI Registry.