Active NPI
Jenny Bulat, APRN
- Family Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11000824
- Practice address
- 1941 Waldemere St FL 4
Sarasota, FL 34239-2922 - Phone
- (941) 957-1000
- Fax
- (941) 951-2117
- NPI assigned
- Dec 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN9272804 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11000824 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11000824 | 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103479400 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190617001033 | FL | Practitioner - Nurse Practitioner | 7517290018 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9272804 | FL | MD | General Practice Registered Nurse |
| APRN11000824 | FL | MD | Family Nurse Practitioner |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Current | Accepting new patients | |
| Medpeds Associates of Sarasota | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Past | Accepting new patients |
Locations
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1970 Golf St
Sarasota, FL 34236
Phone (941) 957-1000
1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780
1931 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 955-8800
1941 Waldemere St
Fl 4
Sarasota, FL 34239
Phone (941) 957-1000
435 Commercial Ct
Unit 300
Venice, FL 34292
Phone (941) 261-0010
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jenny.bulat@fpg.directbygreenway.com
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.
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
FL
-
- Hematology & Oncology Physician
- Sarasota, FL
- NPI 1356446736
-
- Medical Oncology Physician
- Bradenton, FL
- NPI 1508973231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1992277263",
"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": "BULAT",
"first_name": "JENNY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-26",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "FL",
"license": "RN9272804",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11000824",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11000824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103479400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.