NPIMap

Individual provider Active NPI

Sara Nicole Thompson, PA-C

  • Physician Assistant
  • Palm Bay, FL
National Provider Identifier
1508162645
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108278 Issued in FL
Practice address
1421 Malabar Rd NE Ste 200
Palm Bay, FL 32907-2559
Phone
(321) 308-2660
Fax
(321) 984-9303
NPI assigned
Feb 8, 2011
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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 PA9108278 FL Primary

Addresses

Primary practice location

1421 Malabar Rd NE Ste 200
Palm Bay, FL 32907-2559

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 308-2660

Other practice location 1

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200

Other practice location 2

110 Longwood Ave
Rockledge, FL 32955-2828
Phone (321) 636-2211

Other identifiers 4

IdentifierTypeStateIssuer
PENDINGMedicaidFL
PA9108278OtherFLLICENSE
KQ667OtherFLFL MEDICARE
MEDICAREOtherFLMEDICARE

Other names 1

  • Sara Nicole Nilius Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725001489 FL Practitioner - Physician Assistant 9234310087 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

1421 Malabar Rd NE
Suite 200
Palm Bay, FL 32907-2559
Phone (770) 312-5226

4270 Minton Rd
West Melbourne, FL 32904-9579
Phone (321) 984-2933

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.35
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1566NEMDSpeech-Language Pathologist
PA9108278FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Nov 10, 2018 Accepting new patients
Brevard Physician Associates, PLLC Physician Assistant CurrentSince Dec 10, 2025 Accepting new patients
Jeffrey T Obrien MD Inc CurrentSince Jun 1, 2021 Accepting new patients
Health First Medical Group, LLC CurrentSince Nov 10, 2018 Accepting new patients
Creighton University Past Accepting new patients
Alegent Creighton Health Physician Assistant Past Accepting new patients
Nebraska Emergency Physicians PC Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

650 S Courtenay Pkwy
Ste 200
Merritt Island, FL 32952
Phone (321) 394-2600

1421 Malabar Rd NE
Ste 200
Palm Bay, FL 32907
Phone (321) 308-2660

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Interoperability endpoints

  • Direct secure messaging: sara.nilius.2@8042.direct.athenahealth.com
  • Direct secure messaging: sthompson71433@epicdirect.hf.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

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": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1508162645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-308-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 MALABAR RD NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072559",
            "telephone_number": "321-308-2660",
            "fax_number": "321-984-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358625",
            "country_code": "US",
            "telephone_number": "321-752-1200",
            "fax_number": "321-752-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329552828",
            "country_code": "US",
            "telephone_number": "321-636-2211",
            "fax_number": "321-690-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9108278",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "KQ667",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MEDICARE",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "NILIUS",
            "middle_name": "NICOLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.