Individual provider Active NPI

Sharon Ann Vitale, N.P.-C

  • Adult Health Nurse Practitioner
  • Tequesta, FL
National Provider Identifier
1124383658
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9317956 Issued in FL
Practice address
173 Magnolia Way
Tequesta, FL 33469-2113
Phone
(561) 427-5531
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9317956 FL Primary

Addresses

Primary practice location

173 Magnolia Way
Tequesta, FL 33469-2113

Mailing address

173 Magnolia Way
Tequesta, FL 33469-2113
Phone (561) 427-5531

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
I20120913000213 FL Practitioner - Nurse Practitioner 4688822893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9317956FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians LLC CurrentSince Nov 23, 2016 Accepting new patients
Sharon Vitale PA Adult Health CurrentSince Jan 25, 2022 Accepting new patients
Skylake Medical Associates PLLC CurrentSince Jan 8, 2026 Accepting new patients
Certified Wound Specialist NP Adult Health PastSince Aug 17, 2025 Accepting new patients
Skin Care Physicians Past Accepting new patients
Integrated Medical Direction PastSince Jul 1, 2009 Accepting new patients

Locations

7740 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 752-5592

1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426
Phone (407) 913-0001

1380 NE Miami Gardens Dr
Ste 280
North Miami Beach, FL 33179
Phone (305) 735-2022

558 N Semoran Blvd
Winter Park, FL 32792
Phone (407) 628-0123

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEGCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEGCD/Endpoint/FEEGCD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1124383658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MAGNOLIA WAY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692113",
            "telephone_number": "561-427-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MAGNOLIA WAY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692113",
            "telephone_number": "561-427-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "SHARON",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9317956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

Verify at the official NPI Registry.