SANDRA S DACCARETT – Primary Care Nurse Practitioner, NPI 1093089245
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SANDRA S DACCARETT
3090 N.W 46 AVE #104
LAUDERDALE LAKES, FL 33313
Phone: (954) 730-9147
Type: Mailing
3090 NW 46TH AVE APT 104
LAUDERDALE LAKES, FL 333131866
Phone: (954) 730-9147
Type: Location
5400 S UNIVERSITY DR STE 301
DAVIE, FL 333285310
Phone: (954) 636-2332
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,578.
Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: UCB, Inc. ($232).
Total Amount
$1,578
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,578
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $232 |
| Eisai Inc. | $219 |
| ABBVIE INC. | $165 |
| Alexion Pharmaceuticals, Inc. | $152 |
| Janssen Pharmaceuticals, Inc | $118 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-12-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131230001110 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33313)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL | |
| Clinical Psychologist | FL | |
| Qualified Speech Language Pathologist | IL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL | |
| N E U R O L O G Y | FL |
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