VICKIE LYNN SORRELL (FNP-BC) – Family Nurse Practitioner, NPI 1306114483

VICKIE LYNN SORRELL (FNP-BC) is a healthcare provider. based in Port orange, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 58087 (WV). The NPI Number for VICKIE LYNN SORRELL (FNP-BC) is 1306114483

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
VICKIE LYNN SORRELL (FNP-BC)
NPI
1306114483
Phone
(386) 761-0050
Address
4770 S RIDGEWOOD AVE
Enumeration Date
5 December 2011
Last Update Date
21 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862712273
Graduation Year
2011 (15 years ago)
PAC ID
7911146667
Group Practice PAC ID
1759517568
Professional Enrollment ID
I20191031000901
Address ID
FL321278980PO1690XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for VICKIE LYNN SORRELL (FNP-BC)

  • 4770 S RIDGEWOOD AVE

    PORT ORANGE, FL 321274544

    Phone: (386) 761-0050

    Type: Location

  • 2107 Pike St

    Parkersburg, WV 261016973

    Phone: (304) 424-7200

    Type: Location

  • 3950 Tiger Bay Rd

    Daytona Beach, FL 321241042

    Phone: (386) 323-1070

    Type: Location

  • 1751 EARL CORE RD

    MORGANTOWN, WV 26505

    Phone: (304) 485-3627

    Fax: (304) 295-2315

    Type: Mailing

  • 1500 GRAND CENTRAL AVE

    SUITE115

    VIENNA, WV 261051079

    Phone: (304) 485-3627

    Fax: (304) 295-2315

    Type: Location

  • 2101 S I 35 Frontage RD

    Austin, TX 78741

    Phone: (214) 507-0794

    Type: Location

  • 1 Warrior Way Ste 103

    Belle, WV 250151356

    Phone: (304) 949-3591

    Type: Location

  • 1500 Grand Central Ave Ste 115

    Vienna, WV 261051079

    Phone: (304) 485-3627

    Fax: (304) 295-2315

    Type: Location

  • Primary Care

    4770 S Ridgwood Ave Suite 1

    Port Orange, FL 32127

    Phone: (386) 761-0050

    Type: Location

  • 1690 Dunlawton Ave Ste 120

    Port Orange, FL 321278980

    Phone: (386) 271-2273

    Fax: (386) 271-2274

    Type: Location

  • 920 Milliken Rd

    Spartanburg, SC 293034906

    Phone: (877) 278-9175

    Type: Location

  • 1 WARRIOR WAY

    BELLE, WV 250151356

    Phone: (304) 949-3591

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($56).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191031000901INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes115101$0
99203New patient office or other outpatient visit, 30-44 minutes9090$0
99212Established patient office or other outpatient visit, 10-19 minutes3232$0
99202New patient office or other outpatient visit, 15-29 minutes2828$0
87804Detection test by immunoassay with direct visual observation for influenza virus1717$0
View full utilization report →

Insurance plans in this area (ZIP 32127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759517568View full group profile
NameSpecialtyState
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

What is the standard ID for VICKIE LYNN SORRELL (FNP-BC) in the U.S.?
In the U.S., VICKIE LYNN SORRELL (FNP-BC) is identified by NPI 1306114483.
Should I treat VICKIE LYNN SORRELL (FNP-BC) as an active provider?
Patients and plans typically see VICKIE LYNN SORRELL (FNP-BC) as active in the national extract.
What services align with VICKIE LYNN SORRELL (FNP-BC)'s listing?
VICKIE LYNN SORRELL (FNP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to VICKIE LYNN SORRELL (FNP-BC)?
VICKIE LYNN SORRELL (FNP-BC) shows a connection to Port Orange, Florida in registry-derived data.
Who maintains VICKIE LYNN SORRELL (FNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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