Individual provider Active NPI

Sherri Brewer Peete, PA-C

  • Surgical Physician Assistant
  • Pensacola, FL
National Provider Identifier
1497112270
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9109281 Issued in FL
Practice address
4901 Grande Dr
Pensacola, FL 32504-5935
Phone
(855) 527-7246
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9109281 FL Primary

Addresses

Primary practice location

4901 Grande Dr
Pensacola, FL 32504-5935

Mailing address

100 S H St
Pensacola, FL 32502-4539
Phone (205) 382-6881

Other identifiers 2

IdentifierTypeStateIssuer
0214336600MedicaidFL
PA9109281OtherFLMEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160317002423 FL Practitioner - Physician Assistant 4789981796 Reassigns benefits to 3 organizations
I20210428000252 PA Practitioner - Physician Assistant 4789981796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Okaloosa Clinic CorpGroup PAC ID 0244205565, 27 clinicians

Practice addresses (Care Compare)

524 W James Lee Blvd
Crestview, FL 32536-5129
Phone (850) 398-8725

Hospital & facility affiliations

  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
76.51 of 100Reported as group
Quality
51.13
Promoting interoperability
94
Improvement activities
40
Cost
75.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9109281FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Feb 14, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Feb 14, 2022 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Oct 17, 2022 Accepting new patients
North Okaloosa Clinic Corp CurrentSince Oct 1, 2024 Accepting new patients
Gulf Coast Plastic Surgery Center, LLC PastSince Dec 1, 2023 Accepting new patients

Locations

550 Redstone Ave W
Ste 470
Crestview, FL 32536
Phone (850) 689-2223

125 E Redstone Ave
Ste D
Crestview, FL 32539
Phone (850) 398-8725

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1507 Merchants Way
Ste A
Niceville, FL 32578
Phone (850) 897-3600

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

1717 N E St
Pensacola, FL 32501
Phone (850) 434-4549

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

4828 N Davis Hwy
Pensacola, FL 32503

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1497112270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S H ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325024539",
            "telephone_number": "205-382-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045935",
            "telephone_number": "855-527-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETE",
        "first_name": "SHERRI",
        "middle_name": "BREWER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214336600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "PA9109281",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.