Active NPI
Sabine Beaugris, P.A.
- Physician Assistant
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107718
- Practice address
- 650 Del Prado Blvd S Ste 106
Cape Coral, FL 33990-5617 - Phone
- (239) 424-3492
- Fax
- (239) 424-4030
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014737 | NY | |
| Physician Assistant | 363A00000X | PA9107718 | FL | Primary |
Addresses
Primary practice location
650 Del Prado Blvd S Ste 106
Cape Coral, FL 33990-5617
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-3492
Other practice location 1
13685 Doctors Way
Suite 310
Fort Myers, FL 33912-4347
Phone (239) 343-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019259800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbeaugris99247@Direct.leememorial.org | Lee Memorial Health System |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
1682 NE Pine Island Rd
Cape Coral, FL 33909-1756
Phone (239) 424-1600
3501 Health Ctr Blvd
Estero, FL 34135-8127
4751 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone (239) 343-9888
4771 S Cleveland Ave
Fort Myers, FL 33907-1317
Phone (239) 343-9800
507 Cape Coral Pkwy E
Cape Coral, FL 33904-8545
Phone (239) 549-8789
Hospital & facility affiliations
- Cape Coral Hospital
- Lee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107718 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
650 Del Prado Blvd S
Ste 106
Cape Coral, FL 33990
Phone (239) 424-3492
507 Cape Coral Pkwy E
Cape Coral, FL 33904
Phone (239) 541-4420
1682 NE Pine Island Rd
Cape Coral, FL 33909
Phone (239) 424-1600
3501 Health Center Blvd
Ste 2120
Estero, FL 34135
Phone (239) 343-7110
3501 Health Center Blvd
Ste 1050
Estero, FL 34135
Phone (239) 468-0260
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
4771 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 343-9800
13340 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 343-0490
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
16281 Bass Rd
Ste 300
Fort Myers, FL 33908
Phone (239) 343-7110
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- sbeaugris99247@direct.leememorial.org
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1669760690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-3492",
"fax_number": "239-424-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 DEL PRADO BLVD S STE 106",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339905617",
"telephone_number": "239-424-3492",
"fax_number": "239-424-4030"
}
],
"practiceLocations": [
{
"address_1": "13685 Doctors Way",
"address_2": "Suite 310",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339124347",
"country_code": "US",
"telephone_number": "239-343-1400",
"fax_number": "239-343-1430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUGRIS",
"first_name": "SABINE",
"name_prefix": "Miss",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014737",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107718",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019259800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbeaugris99247@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.