SARAH HODGE (PA) – Medical Physician Assistant, NPI 1063115475

SARAH HODGE (PA) is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9117077 (FL). The NPI Number for SARAH HODGE (PA) is 1063115475

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH HODGE (PA)
NPI
1063115475
Phone
(321) 259-9500
Address
6619 N WICKHAM RD
Enumeration Date
24 March 2023
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
3212599500
Graduation Year
2022 (4 years ago)
PAC ID
3779937826
Group Practice PAC ID
1951378694
Professional Enrollment ID
I20230925000334
Address ID
FL329402006ME6619XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for SARAH HODGE (PA)

  • 6619 N WICKHAM RD

    MELBOURNE, FL 329402006

    Phone: (321) 259-9500

    Fax: (321) 574-8656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $902.

Total Amount is formed as General ($902) + Research ($0) + Ownership ($0) = $902.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($259).

Total Amount

$902

General + Research + Ownership

Payments

26

Total payment records

General Amount

$902

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230925000334IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951378694View full group profile
NameSpecialtyState
-FL
Internal Medicine, Cardiovascular Disease (Cardiology)FL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
-FL
Family PracticeFL

Reviews

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Frequently asked questions

What identifier follows SARAH HODGE (PA) across health systems?
The NPI 1063115475 uniquely identifies SARAH HODGE (PA) in U.S. healthcare data.
Should I treat SARAH HODGE (PA) as an active provider?
Patients and plans typically see SARAH HODGE (PA) as active in the national extract.
What type of care does SARAH HODGE (PA) provide?
SARAH HODGE (PA)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to SARAH HODGE (PA)?
SARAH HODGE (PA) shows a connection to Melbourne, Florida in registry-derived data.
Why is information missing for SARAH HODGE (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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