Sharon Deloris Elease Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9103898 Issued in FL

Practice address

12953 Palms West Dr
Suite 202
Loxahatchee, FL 33470-4990

Phone

(561) 791-7969

Fax

(561) 791-7968

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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.

• Lee Health System Inc

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1942058557

  FL

  Medicare reassignment NPD
• Lee Memorial Health System

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1992873319

  FL

  Medicare reassignment NPD
• Royal Palm Medical Care, LLC

  • Primary Care Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1700736840

  FL

  Medicare reassignment NPD
• Wellington Medical Care Associates

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1245339837

  FL

  Medicare reassignment
• Lee Health System Inc

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1699510925
  NPD
• Lee Memorial Health System

  • Federally Qualified Health Center (FQHC)
  • Port Charlotte, FL
  • NPI 1255171765
  NPD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2025.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861697906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146101",
            "telephone_number": "561-795-3330",
            "fax_number": "561-795-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR",
            "address_2": "SUITE 202",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704990",
            "telephone_number": "561-791-7969",
            "fax_number": "561-791-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHARON",
        "middle_name": "DELORIS ELEASE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTION LICENSE #",
            "identifier": "PAX000748",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jimenez-Ramos, PA-C
• Hee Jin
• JMR Therapy Inc
• Eliza Joachim, LMHC
• Samuel Johnson
• Lugdie Marguerite Jonassaint, REGISTRED NURSE
• Lana Jones, PH.D.
• Eric Austin Jorge, MD
• Elizabeth Ann Joseph, CNM
• Kimeka Joseph, PA-C

• All providers in Loxahatchee, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.