1. Home
  2. Directory
  3. Florida
  4. Port St Lucie
  5. Nurse Practitioner
  6. NPI Profile

SARA WATERBURY DNP, PMHNP-BC, RN
NPI 1316664956
Nurse Practitioner - Psychiatric/Mental Health in Port St Lucie, FL

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment
1680 SW BAYSHORE BLVD STE 107, PORT ST LUCIE, FL 34984(772) 249-2597 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2024, Oct 25, 2022 (2 updates tracked since 2022).

About Sara Waterbury Dnp, Pmhnp-bc, Rn NPPES

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

SARA WATERBURY DNP, PMHNP-BC, RN (NPI 1316664956) is an individual psychiatric/mental health provider in Port St Lucie, Florida, licensed in Florida (APRN11022114) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316664956
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSARA WATERBURYCredential: DNP, PMHNP-BC, RN
Location Address1680 SW BAYSHORE BLVD STE 107Port St Lucie, FL 34984-3518
Mailing Address310 Beach AvePort St Lucie, FL 34952-1371
Phone(772) 249-2597
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 25, 2022
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
✔ NPI 1316664956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11022114
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9392585 (FL)
1680 SW BAYSHORE BLVD STE 107, Port St Lucie, FL 34984
Open in Google Maps ↗

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

Sara Waterbury Dnp, Pmhnp-bc, 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 ID3779938147
PECOS Enrollment IDI20250106003061
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 34984 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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

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

BROKEN ROADS MENTAL HEALTH, LLC
Nurse Practitioner (Psychiatric/Mental Health)
1680 SW BAYSHORE BLVD STE 107
PORT ST LUCIE, FL 34984
St. Lucie County (772) 249-2597

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 Sara Waterbury's NPI number?

The NPI number for Sara Waterbury is 1316664956. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Sara Waterbury located?

Sara Waterbury practices at 1680 SW Bayshore Blvd Ste 107, Port St Lucie, FL 34984. The listed phone number is (772) 249-2597.

What is Sara Waterbury's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sara Waterbury enrolled in Medicare?

Yes. Sara Waterbury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sara Waterbury was last updated on August 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.