Individual provider Active NPI

Sherida Ann Hahn, APRN, FNP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1508218454
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9395383 Issued in FL
Practice address
420 Stadium Rd
Daytona Beach, FL 32114-2400
Phone
(386) 254-1149
NPI assigned
Jul 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9395383 FL Primary

Addresses

Primary practice location

420 Stadium Rd
Daytona Beach, FL 32114-2400

Mailing address

PO Box 864627
Suite 502
Orlando, FL 32886-4627
Phone (386) 671-4519

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
I20170201001529 FL Practitioner - Nurse Practitioner 2860775673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9395383FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Endocrine Associates, Inc CurrentSince Mar 13, 2024 Accepting new patients
Vera Endocrine Associates Inc CurrentSince Mar 13, 2024 Accepting new patients
Sma Healthcare Inc Current Accepting new patients
Sma Healthcare, Inc CurrentSince Jul 31, 2023 Accepting new patients
Excellence Health, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

1667 N Clyde Morris Blvd
#2
Daytona Beach, FL 32117
Phone (386) 274-1414

420 Stadium Rd
Daytona Beach, FL 32114
Phone (386) 254-1149

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12862/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sheri.hahn.1@14940.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: sherida.hahn.1@32268.direct.athenahealth.com
  • Direct secure messaging: sherida.hahn.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 5

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": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1508218454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864627",
            "address_2": "SUITE 502",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864627",
            "telephone_number": "386-671-4519",
            "fax_number": "386-672-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 STADIUM RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142400",
            "telephone_number": "386-254-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "SHERIDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-04",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9395383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.