Individual provider Active NPI

Stacey Lynn Kollet, CRNP

  • Adult Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1962840702
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9262772 Issued in FL
Practice address
1941 Waldemere St FL 4
Sarasota, FL 34239-2922
Phone
(941) 957-1000
Fax
(941) 951-2117
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9262772 FL
Acute Care Nurse Practitioner 363LA2100X ARNP 9262772 FL
Nurse Practitioner 363L00000X ARNP9262772 FL
Adult Health Nurse Practitioner 363LA2200X APRN9262772 FL Primary

Addresses

Primary practice location

1941 Waldemere St FL 4
Sarasota, FL 34239-2922

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

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
I20140226002219 FL Practitioner - Nurse Practitioner 4183868318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9262772FLMDRegistered Nurse
ARNP 9262772FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jul 29, 2024 Accepting new patients
Mori Bean and Brooks Inc CurrentSince Jul 1, 2019 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients
Radiology Associates of Tampa PA Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Past Accepting new patients

Locations

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1941 Waldemere St
Fl 4
Sarasota, FL 34239
Phone (941) 957-1000

1801 S Osprey Ave
Unit 101
Sarasota, FL 34239
Phone (202) 444-5478

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1962840702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 WALDEMERE ST FL 4",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392922",
            "telephone_number": "941-957-1000",
            "fax_number": "941-951-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLET",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9262772",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP 9262772",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9262772",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9262772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.