Individual provider Active NPI

Sandra Lee Winters, CRNP

  • Family Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1174613475
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007929 Issued in PA
Practice address
640 Madison Ave
Scranton, PA 18510-1631
Phone
(570) 961-5550
Fax
(570) 961-3844
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP007929 PA Primary
Family Nurse Practitioner 363LF0000X 26NJ00055800 NJ

Addresses

Primary practice location

640 Madison Ave
Scranton, PA 18510-1631

Mailing address

15 Public SQ
Suite 600
Wilkes Barre, PA 18701-1702
Phone (570) 826-1777

Other identifiers 4

IdentifierTypeStateIssuer
1007678420039MedicaidPA
1025995680003MedicaidPA
1025995680004MedicaidPA
1007678420043MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000154 PA Practitioner - Nurse Practitioner 9739158023 Reassigns benefits to 1 organization
I20081004000062 NJ Practitioner - Nurse Practitioner 9739158023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony Group LLCGroup PAC ID 2769605195, 5 clinicians
Bridgeway Behavioral Health ServicesGroup PAC ID 1658699715, 17 clinicians

Practice addresses (Care Compare)

55 Newton Sparta Rd
Suite 104
Newton, NJ 07860-2772
Phone (973) 579-9394

6542 Lower York Rd
New Hope, PA 18938-1811
Phone (908) 707-9700

92 E Main St
Suite 411
Somerville, NJ 08876-2319
Phone (908) 304-5953

93 Stickles Pond Rd
Newton, NJ 07860-2813
Phone (973) 383-8670

Hospital & facility affiliations

  • Newton Medical Center Hospital, Newton, NJ, CCN 310028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP007929PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Group LLC CurrentSince Sep 15, 2020 Accepting new patients
Advanced Behavioral Counseling of Northern New Jersey LLC CurrentSince Aug 15, 2020 Accepting new patients
Harmony Group Behavioral Health LLC CurrentSince Apr 1, 2020 Accepting new patients
Rapid Access Medical Diagnostics NJ LLC Past Accepting new patients
Whites Crossing Medical Group Inc Past Accepting new patients

Locations

55 Newton Sparta Rd
Ste 104
Newton, NJ 07860
Phone (973) 383-0908

92 E Main St
Ste 411
Somerville, NJ 08876
Phone (908) 707-9700

6542 Lower York Rd
New Hope, PA 18938
Phone (215) 862-9065

Interoperability endpoints

  • Direct secure messaging: sandrawinters@jffmdpa.allscriptsdirect.net

Organizations & group practices 6

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 1

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": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1174613475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQ",
            "address_2": "SUITE 600",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187011702",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101631",
            "telephone_number": "570-961-5550",
            "fax_number": "570-961-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007929",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00055800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420039",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025995680003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025995680004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.