Individual provider Active NPI

Robert Ray Schrope IV, PA-C

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1861475006
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1050384 Issued in FL
Practice address
12385 Sorrento Rd
Pensacola, FL 32507-8664
Phone
(850) 517-9851
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4330 WI
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 079199 IA
Medical Physician Assistant 363AM0700X 085.005486 IL
Physician Assistant 363A00000X 1050384 FL Primary

Addresses

Primary practice location

12385 Sorrento Rd
Pensacola, FL 32507-8664

Mailing address

906 Palm Blvd S
Niceville, FL 32578-2603
Phone (850) 517-9851

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
I20211117001534 FL Practitioner - Physician Assistant 8325356728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestview Urgent Care, Inc.Group PAC ID 3678614534, 12 clinicians

Practice addresses (Care Compare)

2400 As Ferdon Blvd
Crestview, FL 32536-6459

2400 S Ferdon Blvd
Suite a
Crestview, FL 32536-6459
Phone (850) 398-8668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1050384FLMDPhysician Assistant
085.005486ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Niceville Urgent Care LLC Single Specialty CurrentSince Jun 25, 2023 Accepting new patients

Locations

906 Palm Blvd S
Niceville, FL 32578
Phone (850) 517-9851

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7208/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1861475006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PALM BLVD S",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782603",
            "telephone_number": "850-517-9851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078664",
            "telephone_number": "850-517-9851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROPE",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4330",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "079199",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.005486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "1050384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.