DR. AUDREY RAE SHERMAN PHD
NPI 1114193216
Psychologist in Ft Myers, FL

Active since May 08, 2008PECOS EnrolledAccepts Medicare Assignment
12641 WORLD PLAZA LANE, #56, FT MYERS, FL 33907(239) 292-2451(239) 939-4662 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Audrey Rae Sherman Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AUDREY RAE SHERMAN PHD (NPI 1114193216) is an individual psychologist in Ft Myers, Florida, licensed in Florida (PY6697) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1114193216
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AUDREY RAE SHERMANCredential: PHD
Location Address12641 WORLD PLAZA LANE, #56Ft Myers, FL 33907
Mailing Address12641 World Plaza Lane, #56Ft Myers, FL 33907 · (239) 292-2451 · Fax (239) 939-4662
Fax(239) 939-4662
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 8, 2008
Last NPPES UpdateOctober 14, 2015
✔ NPI 1114193216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY6697
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12641 WORLD PLAZA LANE, Ft Myers, FL 33907

Other Identifiers 1

Medicare UPIN73063ZFL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Audrey Rae Sherman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719953421
PECOS Enrollment IDI20041217000065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Audrey Sherman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
15730 PIPERS GLN
Fort Myers, FL 33912
  • Reassigned Medicare billing, Florida and New Hampshire enrollments
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, New Hampshire enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
12641 WORLD PLAZA LANE, BLDG #56
FORT MYERS, FL 33907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Sherman's NPI number?

The NPI number for Audrey Sherman is 1114193216. It was assigned to this individual provider in the NPPES registry on May 8, 2008.

Where is Audrey Sherman located?

Audrey Sherman practices at 12641 World Plaza Lane #56, Ft Myers, FL 33907. The listed phone number is (239) 292-2451.

What is Audrey Sherman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Audrey Sherman enrolled in Medicare?

Yes. Audrey Sherman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Audrey Sherman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Sherman reassigns Medicare benefits to 2 organizations: Psychskills Institute Inc (Fort Myers, FL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Sherman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Sherman accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care and UnitedHealthcare list Audrey Sherman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Audrey Sherman was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.