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Active NPI 1508215450 Individual Practitioner Female Practitioner

Stacy Centeno

Nurse Practitioner • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Centeno is a certified Nurse Practitioner practicing in Sarasota, FL. With approximately 11 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 2015, Stacy Centeno delivers high-quality medical care to the local community at 943 S BENEVA RD STE 210.

Stacy Centeno is affiliated with Intercoastal Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per, established patient outpatient office visit, diabetes outpatient self-management training services, group session (. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

943 S Beneva Rd Ste 210

Sarasota, FL 34232

Telephone 9413791777
Fax 9413791888

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sarasota, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.3 yrs vs City Avg
City Avg: 10.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
156 Specialists

Practicing in Sarasota, FL (8990 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Centeno (11 Years) 11 Yrs
Sarasota Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
255 83 $112.00 $54.18
99213 Established patient office or other outpatient visit, typically 15 minutes
124 78 $121.20 $64.83
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes
99 18 $30.00 $14.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
83 63 $175.49 $93.82
83036 Hemoglobin A1C level
68 61 $80.00 $11.75
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment
12 12 $341.00 $159.50

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9487298

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209.014329

Definition to come...

Hospital & Practice Group Affiliations

Intercoastal Medical Group Inc

943 S Beneva Rd, Sarasota, FL 342322472

Phone: 9413791777

Practice Associates & Co-Workers

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

3 Associated Practitioners
Sharon Revels , ARNP

Nurse Practitioner - Family

NPI 1265646285

Advanced Registered Nurse Practitioner

Dr. Jesus Perez , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1639142961

Doctor of Medicine (M.D.)

Dr. Wende Kozlow , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1871513473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2024

Nurse Practitioner (License #209.014329 in IL)

📍
Updated Business Mailing Address May 06, 2020

Registered at 943 S BENEVA RD STE 210, SARASOTA, FL 342322472 (Tel: 9413791777)

📍
Updated Practice Location June 20, 2018

Registered at 943 S BENEVA RD STE 210, SARASOTA, FL 34232 (Tel: 9413791777)

📍
Updated Business Mailing Address June 20, 2018

Registered at 943 S BENEVA RD STE 306, SARASOTA, FL 342322473 (Tel: 9413791777)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2018

Nurse Practitioner (License #ARNP9487298 in FL)

NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2016

Registered at 120 SPALDING DR, 310, NAPERVILLE, IL 605406508 (Tel: 6305275000)

📍
Updated Business Mailing Address June 10, 2016

Registered at 120 SPALDING DR, 310, NAPERVILLE, IL 605406508 (Tel: 6305275000)

👤
Provider Name / Credentials Updated June 10, 2016

Recorded as STACY CENTENO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Nurse Practitioner (License #209.014329 in IL)

🟢
Initial NPI Registration & Enumeration June 10, 2016

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: 1508215450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2016
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

943 S Beneva Rd Ste 210

Sarasota, FL 342322472

Phone: 9413791777

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.