Individual provider Active NPI

Sierra Mahoney, PA-C

  • Physician Assistant
  • Ocala, FL
National Provider Identifier
1316691223
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9115594 Issued in FL
Practice address
1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447
Phone
(352) 512-0092
NPI assigned
Feb 9, 2022
Last updated
Oct 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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 9115594 FL Primary

Addresses

Primary practice location

1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447

Mailing address

1740 SE 18TH St Ste 1102
Ocala, FL 34471-5447
Phone (352) 512-0092

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
I20220621002059 FL Practitioner - Physician Assistant 7517346646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Skin Institute LLCGroup PAC ID 3870746605, 18 clinicians

Practice addresses (Care Compare)

1740 SE 18TH St
Ocala, FL 34471-5447
Phone (352) 512-0092

3210 SW 33Rd Rd
Suite 101
Ocala, FL 34474-7409
Phone (352) 512-0092

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
83.28
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9115594FLMDPhysician Assistant

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: srebchook@directaddress.net

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1316691223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SE 18TH ST STE 1102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715447",
            "telephone_number": "352-512-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "SIERRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9115594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.