Individual provider Active NPI

Stevey Elyse Sanders, APRN, FNP-C

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1962121095
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11022442 Issued in FL
Practice address
3445 Bannerman Rd Ste 100
Tallahassee, FL 32312-7053
Phone
(850) 894-2401
NPI assigned
Aug 23, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11022442 FL Primary
Primary Care Nurse Practitioner 363LP2300X F07221856 FL

Addresses

Primary practice location

3445 Bannerman Rd Ste 100
Tallahassee, FL 32312-7053

Mailing address

3445 Bannerman Rd Ste 100
Tallahassee, FL 32312-7053
Phone (850) 894-2401

Other names 1

  • Stevey Elyse Roberts Other 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
I20230131003362 FL Practitioner - Nurse Practitioner 2365813292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians

Practice addresses (Care Compare)

3445 Bannerman Rd
Suite 100
Tallahassee, FL 32312-7005
Phone (850) 402-0202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07221856FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC CurrentSince Oct 24, 2022 Accepting new patients
Capital Regional Healthcare Past Accepting new patients
Capital Regional Heart Associates, LLC PastSince Aug 28, 2022 Accepting new patients

Locations

1910 Hillbrooke Trl
Ste 2
Tallahassee, FL 32311
Phone (850) 878-2637

3445 Bannerman Rd
Ste 100
Tallahassee, FL 32312
Phone (850) 219-2368

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: stevey.sanders@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1962121095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 BANNERMAN RD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127053",
            "telephone_number": "850-894-2401",
            "fax_number": "850-894-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BANNERMAN RD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127053",
            "telephone_number": "850-894-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "STEVEY",
        "middle_name": "ELYSE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11022442",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "F07221856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEY",
            "last_name": "ROBERTS",
            "middle_name": "ELYSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.