SASSY SOUDERS APRN
NPI 1619738762
Nurse Practitioner - Family in Tallahassee, FL

Active since January 17, 2024PECOS EnrolledAccepts Medicare Assignment
463 TEAL LN, TALLAHASSEE, FL 32308(850) 524-3138 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sassy Souders Aprn NPPES

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

SASSY SOUDERS APRN (NPI 1619738762) is an individual family provider in Tallahassee, Florida, licensed in Florida (11030519) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619738762
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSASSY SOUDERSCredential: APRN
Location Address463 TEAL LNTallahassee, FL 32308-4746
Mailing Address463 Teal LnTallahassee, FL 32308-4746 · (850) 524-3138
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1619738762 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
License Licensed in FL · 11030519
463 TEAL LN, Tallahassee, FL 32308

Accepted 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

Sassy Souders Aprn 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 ID3476097544
PECOS Enrollment IDI20240701000060
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.

Hospital Affiliations CMS Care Compare

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619738762, enumerated as an "individual" on January 17, 2024.

The provider is located at 463 TEAL LN TALLAHASSEE, FL 32308 and the phone number is (850) 524-3138.

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

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

Sassy Souders is affiliated with: TALLAHASSEE MEMORIAL HEALTHCARE.