NPIMap

Individual provider Active NPI

Sarah Shipley

  • Foot & Ankle Surgery Podiatrist
  • Rockledge, FL
National Provider Identifier
1275929119
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P04318 Issued in FL
Practice address
6525 3Rd St Ste 302
Rockledge, FL 32955-5749
Phone
(321) 361-5675
Fax
(321) 806-3875
NPI assigned
Apr 7, 2015
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X P04318 FL Primary

Addresses

Primary practice location

6525 3Rd St Ste 302
Rockledge, FL 32955-5749

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5675

Other identifiers 2

IdentifierTypeStateIssuer
N8488OtherFLFL HF MEDICARE
111445400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180601000492 CT Practitioner - Podiatry 6507121191 Reassigns benefits to 1 organization
I20210819003593 FL Practitioner - Podiatry 6507121191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

205 E Nasa Blvd
Melbourne, FL 32901-1937
Phone (321) 725-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1008CTMDPsychologist
007068NYMDAcupuncturist
P04318FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Foot & Ankle Surgery CurrentSince Jan 6, 2020 Accepting new patients
Health First Medical Group, LLC Foot & Ankle Surgery CurrentSince Oct 10, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 6, 2020 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 10, 2021 Accepting new patients

Locations

55 Holly Hill Ln
Ste 210
Greenwich, CT 06830
Phone (203) 422-7940

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

205 E Nasa Blvd
Melbourne, FL 32901
Phone (321) 361-5624

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

6525 3rd St
Ste 302
Rockledge, FL 32955
Phone (321) 241-1144

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Interoperability endpoints

  • Direct secure messaging: sshipley28324@epicdirect.hf.org

Organizations & group practices 4

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 9

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1275929119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 3RD ST STE 302",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555749",
            "telephone_number": "321-361-5675",
            "fax_number": "321-806-3875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "P04318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MEDICARE",
            "identifier": "N8488",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111445400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.