Individual provider Active NPI

Cheryl A. Spragg, PA-C

  • Physician Assistant
  • Stuart, FL
National Provider Identifier
1003009176
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105543 Issued in FL
Practice address
2100 SE Ocean Blvd
Suite 100
Stuart, FL 34996-3332
Phone
(772) 223-2115
Fax
(772) 337-9034
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002263 OH
Physician Assistant 363A00000X PA9105543 FL Primary

Addresses

Primary practice location

2100 SE Ocean Blvd
Suite 100
Stuart, FL 34996-3332

Mailing address

1150 SW Goodman Ave
Port St Lucie, FL 34953-1433
Phone (937) 360-8152

Other identifiers 1

IdentifierTypeStateIssuer
Y04YJOtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917001054 FL Practitioner - Physician Assistant 5698721124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Practice addresses (Care Compare)

10244 S US Hwy 1
Port St Lucie, FL 34952-5615
Phone (772) 223-2115

325 Ave B NW
Winter Haven, FL 33881-4651
Phone (863) 291-4000

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, West Palm Beach, FL, CCN 108331
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
71.03
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105543FLMDPhysician Assistant
50.002263OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Feb 7, 2024 Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

2096 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-0174

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Interoperability endpoints

  • Direct secure messaging: cheryl.spragg.1@30104.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1003009176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 SW GOODMAN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531433",
            "telephone_number": "937-360-8152",
            "fax_number": "772-337-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE OCEAN BLVD",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963332",
            "telephone_number": "772-223-2115",
            "fax_number": "772-337-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGG",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002263",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y04YJ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.