Active NPI
Melissa Mary Sharkey, PA-C
- Physician Assistant
- Tavernier, FL
National Provider Identifier
1053887919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111688
- Practice address
- 91500 Overseas Hwy
Tavernier, FL 33070-2547 - Phone
- (305) 434-3000
- NPI assigned
- Oct 18, 2018
- Last updated
- Nov 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9111688 | FL | Primary |
| Medical Physician Assistant | 363AM0700X | PA9111688 | FL | |
| Surgical Physician Assistant | 363AS0400X | NU |
Addresses
Primary practice location
91500 Overseas Hwy
Tavernier, FL 33070-2547
Mailing address
PO Box 100707
Atlanta, GA 30384-0707
Phone (305) 852-2089
Other practice location 1
975 Baptist Way
Homestead, FL 33033-7600
Phone (786) 243-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Eyewear, LLC | Past | Accepting new patients |
Interoperability endpoints
- mel29687@cerner.directbaptisthealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541721600000",
"number": "1053887919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100707",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840707",
"telephone_number": "305-852-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91500 OVERSEAS HWY",
"city": "TAVERNIER",
"state": "FL",
"postal_code": "330702547",
"telephone_number": "305-434-3000"
}
],
"practiceLocations": [
{
"address_1": "975 Baptist Way",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330337600",
"country_code": "US",
"telephone_number": "786-243-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHARKEY",
"first_name": "MELISSA",
"middle_name": "MARY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-18",
"last_updated": "2018-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111688",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9111688",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavernier, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.