Individual provider Active NPI

Sheena Marie Spurlock, P.A.

  • Physician Assistant
  • North Miami, FL
National Provider Identifier
1326438227
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108525 Issued in FL
Practice address
1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone
(305) 891-0050
Fax
(305) 891-0497
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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 PA9108525 FL Primary

Addresses

Primary practice location

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Other practice location 1

7481 W Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone (954) 771-7743

Other practice location 2

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other practice location 3

11430 N Kendall Dr Ste 106
Miami, FL 33176-1041
Phone (305) 279-5535

Other practice location 4

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204
Phone (954) 447-0010

Other names 1

  • Sheena Marie Donnellan Former name

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
I20150526001855 FL Practitioner - Physician Assistant 6305166745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

7201 N University Dr
University Hosp and Med Ctr
Tamarac, FL 33321-2913
Phone (954) 771-7743

7481 W Oakland Park Blvd
Suite 100
Tamarac, FL 33319-4985
Phone (888) 852-6672

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9108525FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. CurrentSince Jan 30, 2015 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B200
Boynton Beach, FL 33437
Phone (561) 752-9490

11430 N Kendall Dr
Ste 106
Miami, FL 33176
Phone (305) 279-5535

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 409
North Miami, FL 33161
Phone 8888526672 ext. 2224

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

1601 N Palm Ave
Ste 211
Pembroke Pines, FL 33026
Phone (954) 447-0010

Interoperability endpoints

  • Direct secure messaging: sheena.donnellan@chs1.eclinicaldirectplus.com

Organizations & group practices 2

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1326438227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 206",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7481 W OAKLAND PARK BLVD STE 100",
            "address_purpose": "LOCATION",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N KENDALL DR STE 106",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761041",
            "country_code": "US",
            "telephone_number": "305-279-5535",
            "fax_number": "305-279-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 N PALM AVE STE 211",
            "address_purpose": "LOCATION",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "country_code": "US",
            "telephone_number": "954-447-0010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "SHEENA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEENA",
            "last_name": "DONNELLAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.