Active NPI
Sheronda Denise Drisdom, MSN, ARNP, AOCNP
- Nurse Practitioner
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9185762
- Practice address
- 3730 7TH Terrace
Suite 101
Vero Beach, FL 32960-6556 - Phone
- (772) 581-0528
- Fax
- (772) 581-0535
- NPI assigned
- May 14, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP 9185762 | FL | Primary |
Addresses
Primary practice location
3730 7TH Terrace
Suite 101
Vero Beach, FL 32960-6556
Mailing address
4371 Veronica S Shoemaker Blvd
Attn: Credentialing Dept
Fort Myers, FL 33916-2216
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017341700 | Medicaid | FL |
Other names 1
- Sheronda Denise Brown
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
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3555 10TH CT
Suite 200B
Vero Beach, FL 32960-5013
Phone (772) 226-4810
Hospital & facility affiliations
- Cleveland Clinic Indian River Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9185762 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Treasure Coast Palliative Care, LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Past | Accepting new patients | |
| Indian River Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
5000 NW Dunn Rd
Fort Pierce, FL 34981
Phone (772) 403-4500
52 W Gore St
Orlando, FL 32806
Phone (407) 203-2700
1201 SE Indian St
Stuart, FL 34997
Phone (772) 403-4500
3730 7th Ter
Ste 101
Vero Beach, FL 32960
Phone (772) 567-2332
3555 10th Ct
Ste 200B
Vero Beach, FL 32960
Phone (772) 226-4810
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
-
- Specialist
- Stuart, FL
- NPI 1063658086
-
- Rheumatology Physician
- Vero Beach, FL
- NPI 1356896328
-
- Multi-Specialty Clinic/Center
- Vero Beach, FL
- NPI 1588298285
-
- Psychiatric Hospital Unit
- Vero Beach, FL
- NPI 1801062310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1770929994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"address_2": "ATTN: CREDENTIALING DEPT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"telephone_number": "239-274-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3730 7TH TERRACE",
"address_2": "SUITE 101",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329606556",
"telephone_number": "772-581-0528",
"fax_number": "772-581-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISDOM",
"first_name": "SHERONDA",
"middle_name": "DENISE",
"credential": "MSN, ARNP, AOCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP 9185762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017341700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHERONDA",
"last_name": "BROWN",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.