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SOPHIA GISCOMBE
NPI 1144766619
Nurse Practitioner - Family in North Palm Beach, FL

Active since January 09, 2017PECOS Enrolled
840 US HIGHWAY 1 STE 120, NORTH PALM BEACH, FL 33408(561) 776-7300(561) 776-8727 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, Jan 9, 2017 (2 updates tracked since 2017).

About Sophia Giscombe NPPES

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

SOPHIA GISCOMBE (NPI 1144766619) is an individual family provider in North Palm Beach, Florida, licensed in Florida (ARNP9338099) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144766619
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA GISCOMBE
Location Address840 US HIGHWAY 1 STE 120North Palm Beach, FL 33408-3858
Mailing Address2330 S Congress AveWest Palm Beach, FL 33406-7608 · (561) 432-5849 · Fax (561) 283-0677
Phone(561) 776-7300
Fax(561) 776-8727
Sole ProprietorNo
Enumeration DateJanuary 9, 2017
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1144766619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9338099
840 US HIGHWAY 1 STE 120, North Palm Beach, FL 33408
Open in Google Maps ↗

Other Names 1

Professional Name (2)Sophia Giscombe Arnp

Other Identifiers 2

Medicaid019927900FL
Other54-2083748FL · Employer Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Giscombe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Sophia Giscombe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foundcare Inc
Same address
Federally Qualified Health Center (FQHC)
840 US HIGHWAY 1, SUITE 120
North Palm Beach, FL 33408
  • Reassigned Medicare billing, Florida enrollment
  • 48 clinicians in this Medicare group
NPI 1023474244 (561) 776-8300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

GINA KINSEY RN
Registered Nurse (Infusion Therapy)
840 US HIGHWAY 1 STE 120
NORTH PALM BEACH, FL 33408
Palm Beach County (561) 891-4694
FOUNDCARE, INC.
Pharmacy (Community/Retail Pharmacy)
840 US HIGHWAY 1 STE 120
NORTH PALM BEACH, FL 33408
Palm Beach County (561) 776-8300

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 Sophia Giscombe's NPI number?

The NPI number for Sophia Giscombe is 1144766619. It was assigned to this individual provider in the NPPES registry on January 9, 2017. The provider is also known as Sophia Giscombe Arnp.

Where is Sophia Giscombe located?

Sophia Giscombe practices at 840 Us Highway 1 Ste 120, North Palm Beach, FL 33408. The listed phone number is (561) 776-7300.

What is Sophia Giscombe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sophia Giscombe enrolled in Medicare?

Yes. Sophia Giscombe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sophia Giscombe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Giscombe reassigns Medicare benefits to Foundcare Inc (North Palm Beach, FL). The 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 Sophia Giscombe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Giscombe accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Sophia Giscombe 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 Sophia Giscombe was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.