Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. SASHI A ZICKEFOOSE NP-C
NPI 1407139371
Nurse Practitioner in Port Orange, FL

Q: What is Sashi Zickefoose's NPI number?

The NPI number for Sashi Zickefoose is 1407139371. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Q: What is Sashi Zickefoose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sashi Zickefoose was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since September 27, 2011PECOS Enrolled

4645 CLYDE MORRIS BLVD STE 408, PORT ORANGE, FL 32129(386) 295-6601 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2025, Aug 15, 2018 (2 updates tracked since 2018).

On this page

About Ms. Sashi A Zickefoose Np-c NPPES

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

MS. SASHI A ZICKEFOOSE NP-C (NPI 1407139371) is an individual nurse practitioner in Port Orange, Florida, licensed in Florida (11014840) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407139371

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. SASHI A ZICKEFOOSECredential: NP-C

Location Address4645 CLYDE MORRIS BLVD STE 408Port Orange, FL 32129-3005

Mailing Address146 Bounty LnPonce Inlet, FL 32127-7244 · (386) 886-2492

Phone(386) 295-6601

Sole ProprietorNo

Enumeration DateSeptember 27, 2011

Last NPPES UpdateJune 26, 20262 updates tracked since enumeration

NPPES CertifiedJune 26, 2026

✔ NPI 1407139371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11014840

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN116155 (AZ), AP4449 (AZ)

4645 CLYDE MORRIS BLVD STE 408, Port Orange, FL 32129

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sashi A Zickefoose Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32129 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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

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

DIANE GELLERMANN ARNP

Nurse Practitioner

4645 CLYDE MORRIS BLVD STE 408
PORT ORANGE, FL 32129

Volusia County (386) 295-6601

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 Sashi Zickefoose's NPI number?

The NPI number for Sashi Zickefoose is 1407139371. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Sashi Zickefoose located?

Sashi Zickefoose practices at 4645 Clyde Morris Blvd Ste 408, Port Orange, FL 32129. The listed phone number is (386) 295-6601.

What is Sashi Zickefoose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sashi Zickefoose enrolled in Medicare?

Yes. Sashi Zickefoose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sashi Zickefoose was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.