Sharilyn Rose Chappell, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101016 Issued in FL

Practice address

7101 Park St
Seminole, FL 33777-4632

Phone

(727) 397-1559

Fax

(727) 391-0838

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: shari.chappell.1@26505.direct.athenahealth.com

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.

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• Orlando Family Physicians, LLC

  • General Practice Physician
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  • NPI 1912579673
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1477500684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "727-823-2188",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 PARK ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337774632",
            "telephone_number": "727-397-1559",
            "fax_number": "727-391-0838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 Pasadena Ave S",
            "address_2": "3M",
            "address_purpose": "LOCATION",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337074563",
            "country_code": "US",
            "telephone_number": "727-384-2016",
            "fax_number": "727-343-3791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "SHARILYN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290677500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CCRC Opco - Freedom Square, LLC
• CCRC Opco-Freedom Square, LLC
• CCRC Opco-Freedom Square, LLC
• Annika Chadee, MD
• Robin Yvonne Chaloune, LMHC
• Marilynn G Chauhan, RPT
• Children and Teen Dental Group of Florida
• Children Are Our Future
• Chism Medical Clinic
• Ray Young Cho, D.D.S.

• Physician Assistant in Seminole, FL
• Providers in Seminole, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.