Individual provider Active NPI

Susan Hammerling-Hodgers, PA-C, MPAS, DFAAPA

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1619082237
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101668 Issued in FL
Practice address
8045 Spyglass Hill Rd Ste 104
Melbourne, FL 32940-8567
Phone
(321) 294-5800
Fax
(321) 241-4578
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 PA9101668 FL Primary

Addresses

Primary practice location

8045 Spyglass Hill Rd Ste 104
Melbourne, FL 32940-8567

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 360-2792

Other practice location 1

1761 Palm Bay Rd NE
Palm Bay, FL 32905-2902
Phone (321) 220-6400

Other practice location 2

1730 E Merritt Island Cswy
Merritt Island, FL 32952-2663
Phone (321) 877-3440

Other names 1

  • Susan Hammerling-Hodgers Professional 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
I20070723000267 FL Practitioner - Physician Assistant 9830194893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075

14840 Tamiami TRL
North Port, FL 34287-2701
Phone (941) 564-1542

1730 E Merritt Island Cswy
Merritt Island, FL 32952-2663
Phone (321) 414-2884

1761 Palm Bay Rd NE
Palm Bay, FL 32905-2902
Phone (321) 244-6711

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Oct 1, 2024 Accepting new patients

Locations

8045 Spyglass Hill Rd
Ste 104
Melbourne, FL 32940
Phone (321) 255-4003

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

1761 Palm Bay Rd NE
Palm Bay, FL 32905
Phone (321) 220-6400

1705 Berglund Ln
Ste 102
Viera, FL 32940
Phone (321) 294-5800

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: susanhammerling@brevardskin.allscriptsdirect.net

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1619082237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "239-360-2792",
            "fax_number": "239-666-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 SPYGLASS HILL RD STE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408567",
            "telephone_number": "321-294-5800",
            "fax_number": "321-241-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 Palm Bay Rd NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329052902",
            "country_code": "US",
            "telephone_number": "321-220-6400",
            "fax_number": "321-200-6401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 E Merritt Island Cswy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329522663",
            "country_code": "US",
            "telephone_number": "321-877-3440",
            "fax_number": "321-735-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMERLING-HODGERS",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C, MPAS, DFAAPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAMMERLING-HODGERS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.