Active NPI
Marshia K Sandy, PA-C
- Physician Assistant
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9115233
- Practice address
- 2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838 - Phone
- (772) 460-8838
- Fax
- (772) 460-8808
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0003978 | MD | |
| Medical Physician Assistant | 363AM0700X | PA031233 | DC | |
| Physician Assistant | 363A00000X | PA9115233 | FL | Primary |
Addresses
Primary practice location
2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838
Mailing address
2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838
Phone (772) 460-8838
Other practice location 1
1500 Forest Glenn RD
Silver Spring, MD 20910
Phone (301) 754-8621
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
2801 N St Rd
Suite 7
Margate, FL 33063-5727
Phone (954) 683-7041
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4426 | AZ | MD | Speech-Language Pathologist |
| PA031233 | DC | MD | Medical Physician Assistant |
| C0003978 | MD | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mohave Sleep Medicine Associates LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- msandy1142667@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Plantation, FL
- NPI 1366499618
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Mohave, AZ
- NPI 1265541304
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659139200000",
"number": "1972732261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2402 FRIST BLVD STE 201",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504838",
"telephone_number": "772-460-8838",
"fax_number": "772-460-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 FRIST BLVD STE 201",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504838",
"telephone_number": "772-460-8838",
"fax_number": "772-460-8808"
}
],
"practiceLocations": [
{
"address_1": "1500 Forest Glenn RD",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "20910",
"country_code": "US",
"telephone_number": "301-754-8621",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDY",
"first_name": "MARSHIA",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2022-07-30",
"certification_date": "2022-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0003978",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA031233",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9115233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.