Individual provider Active NPI

Martha Elizabeth Wingard, PA-C

  • Surgical Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1538564299
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9108153 Issued in FL
Practice address
3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845
Phone
(772) 569-2330
Fax
(772) 569-2630
NPI assigned
Oct 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108153 FL
Surgical Physician Assistant 363AS0400X PA9108153 FL Primary

Addresses

Primary practice location

3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845

Mailing address

3955 Indian River Blvd Ste 100
Vero Beach, FL 32960-4845
Phone (772) 569-2330

Other names 1

  • Martha Elizabeth Baldwin Former name

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
I20141119001624 FL Practitioner - Physician Assistant 4880816230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Orthopaedics II PAGroup PAC ID 2567454051, 48 clinicians

Practice addresses (Care Compare)

3955 Indian River Blvd
Suite 100
Vero Beach, FL 32960-4800

801 Wellness Way
Suite 100
Sebastian, FL 32958-3783
Phone (772) 388-9510

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
82.89
Promoting interoperability
98
Improvement activities
40
Cost
71.95

Merit-based Incentive Payment System (MIPS)

Final score
82.69 of 100Reported as group
Quality
84.22
Promoting interoperability
86
Improvement activities
40
Cost
69.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Oct 21, 2014 Accepting new patients
Vero Orthopaedics II PA CurrentSince Nov 5, 2023 Accepting new patients

Locations

303 N Clyde Morris Blvd
Fl E
Daytona Beach, FL 32114
Phone (386) 425-6198

303 N Clyde Morris Blvd
#10E
Daytona Beach, FL 32114

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elizabeth.wingard.p1@direct.veroortho.nextgenshare.com

Organizations & group practices 3

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 1

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1538564299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604845",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 INDIAN RIVER BLVD STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604845",
            "telephone_number": "772-569-2330",
            "fax_number": "772-569-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGARD",
        "first_name": "MARTHA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108153",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9108153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "BALDWIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.