Individual provider Active NPI

Ngoc Angelique Sneeden, PA-C

  • Surgical Physician Assistant
  • Melbourne, FL
National Provider Identifier
1922396654
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9106979 Issued in FL
Practice address
8725 N Wickham Rd Ste 301
Viera Sports Medicine and Orthopedic Center, Inc.
Melbourne, FL 32940-2240
Phone
(321) 434-9200
NPI assigned
Jul 15, 2011
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9106979 FL Primary

Addresses

Primary practice location

8725 N Wickham Rd Ste 301
Viera Sports Medicine and Orthopedic Center, Inc.
Melbourne, FL 32940-2240

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 345-7579

Other practice location 1

3830 S Hwy A1A Ste C5
Melbourne, FL 32951-3145
Phone (321) 345-7579

Other practice location 2

930 S Harbor City Blvd Ste 101
Melbourne, FL 32901-1901
Phone (321) 345-7579

Other identifiers 1

IdentifierTypeStateIssuer
PC468OtherFLFL HF MA

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
I20130731000359 FL Practitioner - Physician Assistant 1254508070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

930 S Harbor City Blvd
Suite 101
Melbourne, FL 32901-1901
Phone (321) 434-1981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9106979FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Oct 31, 2019 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 31, 2019 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Locations

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ngoc.sneeden.1@8042.direct.athenahealth.com
  • Direct secure messaging: nsneeden71586@epicdirect.hf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1922396654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-345-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 N WICKHAM RD STE 301",
            "address_2": "VIERA SPORTS MEDICINE AND ORTHOPEDIC CENTER, INC.",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402240",
            "telephone_number": "321-434-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 S Hwy A1A Ste C5",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329513145",
            "country_code": "US",
            "telephone_number": "321-345-7579",
            "fax_number": "833-944-2173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 S Harbor City Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011901",
            "country_code": "US",
            "telephone_number": "321-345-7579",
            "fax_number": "833-944-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNEEDEN",
        "first_name": "NGOC",
        "middle_name": "ANGELIQUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HF MA",
            "identifier": "PC468",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.