SHARON MARIE SIBLEY APRN NPI 1700806502

Nurse Practitioner (Family) in Orlando, FL

NPI 1700806502 Individual Female Years of Experience 26 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About SHARON SIBLEY

Sharon Sibley is a provider established in Orlando, Florida and her medical specialization is nurse practitioner (family) with more than 26 years of experience. The NPI number of Sharon Sibley is 1700806502 and was assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X with license number APRN2595722 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.

A nurse practitioner (NP) like Sharon Marie Sibley Aprn is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Sharon Sibley is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Sharon Sibley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Adventhealth Orlando.

NPI

1700806502

Provider Name SHARON MARIE SIBLEY APRN
Provider Location Address3701 AVALON PARK WEST BLVD STE 210 ORLANDO, FL 32828
Provider Mailing Address3701 AVALON PARK WEST BLVD STE 210 ORLANDO, FL 32828
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-21-2006
Last Update Date11-03-2020


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.APRN2595722
License StateFL

Business Address

SHARON MARIE SIBLEY APRN
3701 AVALON PARK WEST BLVD STE 210
ORLANDO, FL
ZIP 32828
Phone: (407) 303-6285
Fax: (407) 303-6284

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Mailing Address

SHARON MARIE SIBLEY APRN
3701 AVALON PARK WEST BLVD STE 210
ORLANDO, FL
ZIP 32828
Phone: (407) 303-6285
Fax: (407) 303-6284



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1355474248
PECOS Enrollment IDI20100728001233
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 45Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 33Administration of influenza virus vaccine (HCPCS:G0008)
  • 23Administration of pneumococcal vaccine (HCPCS:G0009)
  • 18Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 16Hemoglobin A1C level (HCPCS:83036)
  • 11Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sharon Sibley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVENTHEALTH ORLANDO601 E ROLLINS ST
ORLANDO, FL 32803
(407) 303-1976Acute Care Hospitals100007

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538173026DR. STEVEN L ATTERMANN DO
Individual
Internal Medicine3701 AVALON PARK WEST BLVD STE 210
ORLANDO, FL 32828
(407) 303-6285
1730612912 MONA LIZA TOLLA APRN
Individual
Nurse Practitioner (Family)3701 AVALON PARK WEST BLVD STE 210
ORLANDO, FL 32828
(407) 303-6285

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.