SAVANNAH RAE SOUDERS PA-C
NPI 1962157941
Student in an Organized Health Care Education/Training Program in Sarasota, FL

Active since February 17, 2022PECOS EnrolledAccepts Medicare Assignment
1425 S OSPREY AVE STE 1, SARASOTA, FL 34239(941) 366-9060(941) 316-9366 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Feb 17, 2022 (2 updates tracked since 2022).

About Savannah Rae Souders Pa-c NPPES

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

SAVANNAH RAE SOUDERS PA-C (NPI 1962157941) is an individual student in an organized health care education/training program in Sarasota, Florida and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in Sarasota.

NPPES Registry Identity

NPI1962157941
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAVANNAH RAE SOUDERSCredential: PA-C
Location Address1425 S OSPREY AVE STE 1Sarasota, FL 34239-2900
Mailing Address425 S Osprey Ave # 1Sarasota, FL 34236-6827 · (941) 366-9060 · Fax (941) 316-9366
Fax(941) 316-9366
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2024
Enumeration DateFebruary 17, 2022
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1962157941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1425 S OSPREY AVE STE 1, Sarasota, FL 34239

Secondary Practice Location 1

Location 11700 S Tamiami TrlSarasota, FL 34239-3555 · Phone (941) 917-9000

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

Savannah Rae Souders Pa-c 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 ID5698207108
PECOS Enrollment IDI20241022000688
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 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100359
Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Infectious Disease)
1425 S OSPREY AVE STE 1
SARASOTA, FL 34239
Nurse Practitioner
1425 S OSPREY AVE STE 1
SARASOTA, FL 34239
Internal Medicine (Infectious Disease)
1425 S OSPREY AVE STE 1
SARASOTA, FL 34239
Internal Medicine (Infectious Disease)
1425 S OSPREY AVE STE 1
SARASOTA, FL 34239
Nurse Practitioner (Family)
1425 S OSPREY AVE STE 1
SARASOTA, FL 34239

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 Savannah Souders's NPI number?

The NPI number for Savannah Souders is 1962157941. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Savannah Souders located?

Savannah Souders practices at 1425 S Osprey Ave Ste 1, Sarasota, FL 34239. The listed phone number is (941) 366-9060.

What is Savannah Souders's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Savannah Souders enrolled in Medicare?

Yes. Savannah Souders 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.

Is Savannah Souders affiliated with any hospitals?

According to CMS data, Savannah Souders is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Savannah Souders was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.