Individual provider Active NPI

Sarah Jane Brown, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1053675108
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015694 Issued in NY
Practice address
1905 Clint Moore Rd Ste 202
Boca Raton, FL 33496-2660
Phone
(561) 757-5530
Fax
(561) 430-5390
NPI assigned
Jul 3, 2012
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015694 NY Primary

Addresses

Primary practice location

1905 Clint Moore Rd Ste 202
Boca Raton, FL 33496-2660

Mailing address

1905 Clint Moore Rd Ste 202
Boca Raton, FL 33496-2660
Phone (561) 757-5530

Other identifiers 1

IdentifierTypeStateIssuer
03475830MedicaidNY

Other names 1

  • Sarah Jane Wilkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120808000311 NY Practitioner - Physician Assistant 7315193265 Reassigns benefits to 1 organization
I20230406000562 FL Practitioner - Physician Assistant 7315193265 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr B Medical PLLCGroup PAC ID 3577984038, 2 clinicians

Practice addresses (Care Compare)

3848 Fau Blvd
Suite 305
Boca Raton, FL 33431-6437
Phone (561) 757-5530

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PC PastSince Feb 25, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.brown.1@33410.direct.athenahealth.com

Organizations & group practices 3

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

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1053675108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-757-5530",
            "fax_number": "561-430-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962660",
            "telephone_number": "561-757-5530",
            "fax_number": "561-430-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03475830",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "WILKINSON",
            "middle_name": "JANE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.