Individual provider Active NPI

Sonia Bain

  • Psychiatric/Mental Health Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1871196337
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11003627 Issued in FL
Practice address
1000 SE Monterey Commons Blvd Ste 104
Stuart, FL 34996-3327
Phone
(561) 818-7620
Fax
(772) 223-3639
NPI assigned
Nov 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11003627 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11003627 FL Primary

Addresses

Primary practice location

1000 SE Monterey Commons Blvd Ste 104
Stuart, FL 34996-3327

Mailing address

1000 SE Monterey Commons Blvd Ste 104
Stuart, FL 34996-3327
Phone (561) 818-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210928002930 FL Practitioner - Nurse Practitioner 3173938446 Reassigns benefits to 3 organizations
I20250611004028 MA Practitioner - Nurse Practitioner 3173938446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater New Bedford Community Health Center IncGroup PAC ID 7214848811, 49 clinicians

Practice addresses (Care Compare)

874 Purchase St
New Bedford, MA 02740-6232
Phone (508) 992-6553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11003627FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Jan 5, 2022 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Sep 1, 2021 Accepting new patients
Greater New Bedford Community Health Center, Inc. CurrentSince Jun 16, 2025 Accepting new patients
Ace Behavioral Health LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
MCR Health, Inc. Family CurrentSince Jan 5, 2022 Accepting new patients

Locations

4243 Sunbeam Rd
Ste 6
Jacksonville, FL 32257
Phone (904) 299-0184

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

5406 Hoover Blvd
Ste 18
Tampa, FL 33634
Phone (813) 880-7577

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: sbain51270@direct.ctc.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1871196337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SE MONTEREY COMMONS BLVD STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963327",
            "telephone_number": "561-818-7620",
            "fax_number": "772-223-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE MONTEREY COMMONS BLVD STE 104",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963327",
            "telephone_number": "561-818-7620",
            "fax_number": "772-223-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "SONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003627",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11003627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.