Active NPI
Sarah Ann Rider
- Physician Assistant
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9116071
- Practice address
- 1549 SW Jacksonville Ave
Port Saint Lucie, FL 34953-6526 - Phone
- (772) 418-5006
- NPI assigned
- Dec 3, 2016
- 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 | 9116071 | FL | Primary |
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1549 SW Jacksonville Ave
Port Saint Lucie, FL 34953-6526
Mailing address
1549 SW Jacksonville Ave
Port Saint Lucie, FL 34953-6526
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511
2623 S Seacrest Blvd
Boynton Beach, FL 33435-7532
Phone (561) 620-1653
2623 S Seacrest Blvd
Suite 210
Boynton Beach, FL 33435-7944
2815 S Seacrest Blvd
Bethesda Memorial Hospital
Boynton Beach, FL 33435-7944
Phone (561) 737-7733
300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2711
Phone (561) 657-4600
9868 S State Rd
7 Suite 225
Boynton Beach, FL 33472-4474
Phone (561) 953-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9116071 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Surgery Associates, PA | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Physician Assistant | Current | Accepting new patients |
| FL-I Medical Services LLC | Physician Assistant | Current | Accepting new patients |
Locations
2828 S Seacrest Blvd
Ste 216
Boynton Beach, FL 33435
Phone (561) 395-2117
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
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.
-
- Orthopaedic Surgery Physician
- West Palm Beach, FL
- NPI 1023574944
-
- Orthopaedic Surgery Physician
- Boynton Beach, FL
- NPI 1104865088
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
-
- Durable Medical Equipment & Medical Supplies
- Boynton Beach, FL
- NPI 1285316414
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1841733276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 SW JACKSONVILLE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349536526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 SW JACKSONVILLE AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349536526",
"telephone_number": "772-418-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDER",
"first_name": "SARAH",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-03",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9116071",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.