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CORNERSTONE HEALTHCARE CLINIC
NPI 1124983994
Nurse Practitioner - Family in Sarasota, FL

Active since December 23, 2025CLIA 10D2347755 · Waiver
1400 DR MARTIN LUTHER KING WAY UNIT 101, SARASOTA, FL 34234(941) 373-1716(941) 373-1727 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cornerstone Healthcare Clinic NPPES

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

CORNERSTONE HEALTHCARE CLINIC (NPI 1124983994) is a healthcare organization registered as a family in Sarasota, Florida and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through July 22, 2028 and lists Lisa Menchion, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1124983994
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCORNERSTONE HEALTHCARE CLINIC
Location Address1400 DR MARTIN LUTHER KING WAY UNIT 101Sarasota, FL 34234-7426
Mailing Address441 Salt Meadow Cir Unit 107Bradenton, FL 34208-1799 · (850) 693-6148
Phone(941) 373-1716
Fax(941) 373-1727
Organization SubpartNo
Authorized OfficialLisa MenchionNurse Practitioner · (850) 693-6148
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1124983994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1400 DR MARTIN LUTHER KING WAY UNIT 101, Sarasota, FL 34234
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cornerstone Healthcare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cornerstone Healthcare Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Menchion, NP-C
Nurse Practitioner
NPI 1356885503
515 63RD AVE E
Bradenton, FL 34203
(941) 304-3960
✔ PECOS✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2347755

Cornerstone Healthcare Clinic LLC · Sarasota, FL
Active · expires Jul 22, 2028
CLIA Number10D2347755
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorLisa E. Menchion
Laboratory Phone(941) 373-1727
Laboratory LocationCornerstone Healthcare Clinic LLC1400 Dr Martin Luther King Jr Way Unit 101, Sarasota, FL 34234
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornerstone Healthcare Clinic's NPI number?

The NPI number for Cornerstone Healthcare Clinic is 1124983994. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Cornerstone Healthcare Clinic located?

Cornerstone Healthcare Clinic is located at 1400 Dr Martin Luther King Way Unit 101, Sarasota, FL 34234. The listed phone number is (941) 373-1716.

What is Cornerstone Healthcare Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cornerstone Healthcare Clinic enrolled in Medicare?

Yes. Cornerstone Healthcare Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cornerstone Healthcare Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cornerstone Healthcare Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Cornerstone Healthcare Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2347755) is associated with this NPI, valid through July 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cornerstone Healthcare Clinic was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.