Individual provider Active NPI

Sheila Soares, NP-C

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1629666458
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010118 Issued in FL
Practice address
17240 Cortez Blvd
Brooksville, FL 34601-8921
Phone
(352) 796-5111
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X APRN11010118 FL
Family Nurse Practitioner 363LF0000X APRN11010118 FL Primary

Addresses

Primary practice location

17240 Cortez Blvd
Brooksville, FL 34601-8921

Mailing address

11374 Chalk Farm Rd
Spring Hill, FL 34609-9637
Phone (818) 298-2452

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
I20210422003137 FL Practitioner - Nurse Practitioner 8426466863 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Allied Healthcare LLCGroup PAC ID 1052776366, 29 clinicians
Allied Health Florida IncGroup PAC ID 6507212867, 10 clinicians

Practice addresses (Care Compare)

14690 Spring Hill Dr
Suite 101
Spring Hill, FL 34609-8102
Phone (352) 799-0046

19101 Cortez Blvd
Brooksville, FL 34601-3013
Phone (352) 573-0240

Hospital & facility affiliations

  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Healthcare LLC CurrentSince Apr 1, 2023 Accepting new patients
Allied Health Florida Inc. CurrentSince Oct 5, 2023 Accepting new patients
Cogent Healthcare of Pensacola LLC Hospitalist Current Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Tampa General Hospital Current Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Apr 26, 2021 Accepting new patients

Locations

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

1114 Chatman Blvd
Brooksville, FL 34601
Phone (352) 796-6701

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609

Interoperability endpoints

  • Direct secure messaging: ssoares296512@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 3

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1629666458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11374 CHALK FARM RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099637",
            "telephone_number": "818-298-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17240 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018921",
            "telephone_number": "352-796-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOARES",
        "first_name": "SHEILA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN11010118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.