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CAROLINE M SARGEANT ARNP
NPI 1326359274
Nurse Practitioner - Obstetrics & Gynecology in Palm Coast, FL

Active since June 25, 2010PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
21 HOSPITAL DR, SUITE 270, PALM COAST, FL 32164(386) 437-5959(386) 437-5390 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Caroline M Sargeant Arnp NPPES

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

CAROLINE M SARGEANT ARNP (NPI 1326359274) is an individual obstetrics & gynecology provider in Palm Coast, Florida, licensed in Florida (ARNP9265350) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1326359274
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameCAROLINE M SARGEANTCredential: ARNP
Location Address21 HOSPITAL DR, SUITE 270Palm Coast, FL 32164-2452
Mailing Address21 Hospital Dr, Suite 270Palm Coast, FL 32164-2452 · (386) 437-5959 · Fax (386) 437-5390
Phone(386) 437-5959
Fax(386) 437-5390
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 25, 2010
Last NPPES UpdateJune 23, 2016
✔ NPI 1326359274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in FL · ARNP9265350
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License ARNP9265350 (FL)
21 HOSPITAL DR, Palm Coast, FL 32164
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Caroline M Sargeant Arnp 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 ID446443014
PECOS Enrollment IDI20101015000603
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
65 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services28 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
92%430 patients4/55-star benchmark: 93%
Cervical Cancer Screening
94%596 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
26%62 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
75%543 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%1,236 patients4/55-star benchmark: 100%
e-Prescribing
96%196 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%991 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
36%1,232 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 716 patients
0%716 patients
Provide Patients Electronic Access to Their Health Information
81%302 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. DONNETTE FELICE WILLIAMS M.D.
Family Medicine
21 HOSPITAL DR, SUITE 290
PALM COAST, FL 32164
Flagler County (386) 437-7977
COASTAL FAMILY HEALTHCARE LLC
Family Medicine
21 HOSPITAL DR, SUITE 280
PALM COAST, FL 32164
Flagler County (386) 437-4711
DR. CHARLES I STEIN MD
Phlebology
21 HOSPITAL DR, SUITE 260
PALM COAST, FL 32164
Flagler County (386) 586-5344
ATLANTIC UROLOGICAL ASSOCIATES P A
Urology
21 HOSPITAL DR, SUITE 140
PALM COAST, FL 32164
Flagler County (386) 445-8530
SJB MD PA
Obstetrics & Gynecology (Gynecology)
21 HOSPITAL DR, SUITE 270
PALM COAST, FL 32164
Flagler County (386) 437-5959
TOMOKA EYE ASSOCIATES, P.A.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
21 HOSPITAL DR, SUITE 160
PALM COAST, FL 32164
Flagler County (386) 586-3711
TOWN CENTER FAMILY CARE LLC
Family Medicine
21 HOSPITAL DR, STE 290
PALM COAST, FL 32164
Flagler County (386) 473-7977
SPINECARE OF PALM COAST LLC
Pain Medicine (Interventional Pain Medicine)
21 HOSPITAL DR, STE 220
PALM COAST, FL 32164
Flagler County (386) 263-6020

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 Caroline Sargeant's NPI number?

The NPI number for Caroline Sargeant is 1326359274. It was assigned to this individual provider in the NPPES registry on June 25, 2010.

Where is Caroline Sargeant located?

Caroline Sargeant practices at 21 Hospital Dr Suite 270, Palm Coast, FL 32164. The listed phone number is (386) 437-5959.

What is Caroline Sargeant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Caroline Sargeant enrolled in Medicare?

Yes. Caroline Sargeant 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.

What insurance does Caroline Sargeant accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and UnitedHealthcare list Caroline Sargeant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caroline Sargeant affiliated with any hospitals?

According to CMS data, Caroline Sargeant is affiliated with Adventhealth Daytona Beach, Florida Hospital Flagler and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for Caroline Sargeant was last updated on June 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.