Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750468922 Individual Practitioner Female Practitioner

Sherene Andrea Roach , ARNP

Nurse Practitioner - Pediatrics • Deland, FL

Professional Overview & Biography Verified Profile Summary

Sherene Roach, ARNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Deland, FL. Practice services are available at 1190 N STONE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1190 N Stone St

Deland, FL 327202511

Telephone 3867381792
Fax 3867384865
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Deland, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Deland, FL (1565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL 2994522

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
305843300 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Constance Miller , ARNP, PNP

Nurse Practitioner - Pediatrics

NPI 1649583105

Advanced Registered Nurse Practitioner, Pediatric Nurse Practitioner

NPI 1851475271

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1190 N STONE ST, DELAND, FL 327202511 (Tel: 3867381792)

📍
Updated Business Mailing Address July 08, 2007

Registered at 940 VILLAGE TRL APT 1-205, PORT ORANGE, FL 321279383 (Tel: 3864536490)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHERENE ROACH, A.R.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #2994522 in FL)

🟢
Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750468922
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

940 Village Trl Apt 1-205

Port Orange, FL 321279383

Phone: 3864536490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.