Nicole Anne Rodriguez Sioson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116781 Issued in FL

Practice address

2155 W Mustang Blvd
Beverly Hills, FL 34465-3520

Phone

(352) 282-3998

NPI assigned

Nov 10, 2022

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nature Coast Orthopaedics and Sports Medicine Clinic, PAGroup PAC ID 6103823562, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Crystal River Hospital, Crystal River, FL, CCN 100249

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/BEIEDD/Endpoint/BEIEDD
• Direct secure messaging: nsioson170847@direct.tgh.org

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.

• Nature Coast Orthopaedics & Sports Medicine Clinic, PA

  • Orthopaedic Surgery Physician
  • Beverly Hills, FL
  • NPI 1588697551
  Medicare reassignment Care Compare group
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tampa General Hospital Citrus LLC

  dba Tampa General Hospital Crystal River

  • General Acute Care Hospital
  • Crystal River, FL
  • NPI 1407637531
  Care Compare affiliation

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1467160275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EPPERSON DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055627",
            "telephone_number": "731-437-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W MUSTANG BLVD",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653520",
            "telephone_number": "352-282-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIOSON",
        "first_name": "NICOLE",
        "middle_name": "ANNE RODRIGUEZ",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116781",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116781",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9116781",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Home Care, Inc. (Centerwell Home Health)
• Loretta M Setter, RPH
• Cheryl L Sherlock, MSW
• Marina Shoukry, PHARMD
• Terri Simon
• Peggy Sue Slusarski, LCSW
• Speech Sprouts Therapy LLC
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• Sunshine Medical of North Florida, Inc.
• Lurenda Freelove Taylor

• Physician Assistant in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.