Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

CARLY ANNE SCHROEDER RN
NPI 1114760121
Nurse Practitioner - Family in New Port Richey, FL

Active since June 17, 2024PECOS Enrolled
6804 CECELIA DR, NEW PORT RICHEY, FL 34653(855) 232-0644(888) 546-0488 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 14, 2026, Mar 9, 2026, Jun 17, 2024 (3 updates tracked since 2024).

About Carly Anne Schroeder Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY ANNE SCHROEDER RN (NPI 1114760121) is an individual family provider in New Port Richey, Florida, licensed in Florida (APRN11040847) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Myers, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114760121
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY ANNE SCHROEDERCredential: RN
Location Address6804 CECELIA DRNew Port Richey, FL 34653-4935
Mailing Address6804 Cecelia DrNew Port Richey, FL 34653-4935 · (855) 232-0644 · Fax (888) 546-0488
Fax(888) 546-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 17, 2024
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1114760121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11040847
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License 9530122 (FL)
6804 CECELIA DR, New Port Richey, FL 34653

Other Names 1

Former Name (1)Carly Anne Sansoucy Rn

Secondary Practice Location 1

Location 19981 S Healthpark DrFort Myers, FL 33908-3618 · Phone (239) 343-5437

Other Identifiers 1

Medicaid127924600FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Carly Anne Schroeder Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890203301
PECOS Enrollment IDI20250805003369
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Adult Health)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Internal Medicine (Hospice and Palliative Medicine)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Primary Care)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Adult Health)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Family Medicine
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Psychologist (Clinical)
6804 CECELIA DR, SUITE 201
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Adult Health)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114760121, enumerated as an "individual" on June 17, 2024.

The provider is located at 6804 CECELIA DR NEW PORT RICHEY, FL 34653 and the phone number is (855) 232-0644.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.