Individual provider Active NPI

Shannon Erica Sakowski, R.N.

  • Registered Nurse
  • Bloomfield, NJ
National Provider Identifier
1083802474
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
26NR11127400 Issued in NJ
Practice address
110 North Fulton Street
Apt. 407
Bloomfield, NJ 07003
Phone
(973) 743-3295
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 589109 CA
Registered Nurse 163W00000X 26NR11127400 NJ Primary

Addresses

Primary practice location

110 North Fulton Street
Apt. 407
Bloomfield, NJ 07003

Mailing address

110 N Fulton St
Apt. 407
Bloomfield, NJ 07003-2200
Phone (973) 743-3295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000149 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880753045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rutgers New Jersey Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California SFGH Medical GroupGroup PAC ID 5496668410, 566 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-8934

Hospital & facility affiliations

  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
97.28 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
589109CAMDRegistered Nurse
26NR11127400NJMDRegistered Nurse
3641CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Anesthesia Medical Group CurrentSince Jul 1, 2008 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 17, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 17, 2020 Accepting new patients

Locations

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1600 Divisadero St
#1605
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
Rm 3C34
San Francisco, CA 94110
Phone (628) 206-8934

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1083802474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FULTON ST",
            "address_2": "APT. 407",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032200",
            "telephone_number": "973-743-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORTH FULTON STREET",
            "address_2": "APT. 407",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "07003",
            "telephone_number": "973-743-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKOWSKI",
        "first_name": "SHANNON",
        "middle_name": "ERICA",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "589109",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR11127400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.