Active NPI
Sheron Walcott, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9113214
- Practice address
- 255 Eastern Pkwy
Brooklyn, NY 11238 - Phone
- (718) 636-8291
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | 017479 | NY | |
| Surgical Physician Assistant | 363AS0400X | 017479 | NY | |
| Physician Assistant | 363A00000X | PA9113214 | FL | Primary |
Addresses
Primary practice location
255 Eastern Pkwy
Brooklyn, NY 11238
Mailing address
10712 Pacifica Way
Parkland, FL 33076-3985
Phone (347) 513-6326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16040 Pines Blvd
Pembroke Pines, FL 33027-1171
Phone (954) 301-4988
195 N Federal Hwy
Suite B
Ft Lauderdale, FL 33301-1110
Phone (954) 281-9947
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 420-8555
2502 N Federal Hwy
Lighthouse Point, FL 33064-6856
Phone (954) 943-3880
2502 N State Rd
Suite 7
Hollywood, FL 33021-3205
Phone (954) 894-7955
2571 S University Dr
Davie, FL 33324-5845
Phone (561) 420-8555
3470 NW 62ND Ave
Margate, FL 33063-8311
Phone (954) 972-6868
415 E Hallandale Beach Blvd
Hallandale Beach, FL 33009-5528
Phone (954) 457-4333
4570 Lantana Rd
Lake Worth, FL 33463-6908
Phone (561) 963-9881
4640 W Commercial Blvd
Tamarac, FL 33319-3314
Phone (954) 425-9449
6300 N Andrews Ave
Fort Lauderdale, FL 33309-2130
Phone (954) 492-2035
7007 W Broward Blvd
Unit 5
Plantation, FL 33317-2208
Phone (954) 791-3636
9650 Pines Blvd
Pembroke Pines, FL 33024-6241
Phone (954) 885-9009
9690 Glades Rd
Unit 425
Boca Raton, FL 33434-4015
Phone (561) 449-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017479 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Clinic 21 of Connecticut LLC | Past | Accepting new patients | |
| Pharma Holding Inc | Past | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- swalcott@direct.meditouchehr.com
Organizations & group practices 15
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.
-
- Urgent Care Clinic/Center
- West Palm Beach, FL
- NPI 1033195474
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1205105004
-
- Urgent Care Clinic/Center
- Howard Beach, NY
- NPI 1235434036
-
- Urgent Care Clinic/Center
- New Hyde Park, NY
- NPI 1952652281
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1013278274
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1104146158
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1235413477
-
- Urgent Care Clinic/Center
- Yonkers, NY
- NPI 1154684207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1003221714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10712 PACIFICA WAY",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763985",
"telephone_number": "347-513-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11238",
"telephone_number": "718-636-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALCOTT",
"first_name": "SHERON",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "017479",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "017479",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9113214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.