Individual provider Active NPI

Sarah Ann Rider

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1841733276
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9116071 Issued in FL
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

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221026003219 FL Practitioner - Physician Assistant 9931575313 Reassigns benefits to 3 organizations

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
HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

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

LicenseStateTypeSpecialty
9116071FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates, PA CurrentSince Sep 1, 2023 Accepting new patients
FL-I Medical Services, LLC Physician Assistant CurrentSince Oct 24, 2022 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Oct 24, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.