Individual provider Active NPI

Sonja J Kocan, FNP-C

  • Family Nurse Practitioner
  • Canton, NY
National Provider Identifier
1225579626
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340829 Issued in NY
Practice address
80 E Main St Ste 2a
Canton, NY 13617-1400
Phone
(315) 714-2559
Fax
(315) 386-3056
NPI assigned
Mar 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 340829 NY Primary

Addresses

Primary practice location

80 E Main St Ste 2a
Canton, NY 13617-1400

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9370

Other practice location 1

49 Lawrence Ave
Potsdam, NY 13676-1889
Phone (315) 265-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170606000537 NY Practitioner - Nurse Practitioner 5991072308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of St Lawrence Valley IncGroup PAC ID 0840204574, 3 clinicians

Practice addresses (Care Compare)

6805 US Hwy 11
Potsdam, NY 13676-3131
Phone (315) 265-3105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Current Accepting new patients
Claxton Medical PC CurrentSince Oct 31, 2022 Accepting new patients
St Josephs Medical PC CurrentSince Dec 17, 2019 Accepting new patients
Hospice of St Lawrence Valley Inc CurrentSince May 20, 2024 Accepting new patients
Claxton Medical PC Family CurrentSince Oct 31, 2022 Accepting new patients
Canton Potsdam Hospital PastSince Sep 20, 2022 Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

22670 Summit Dr
Bldg 6
Watertown, NY 13601
Phone (315) 779-7430

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 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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1225579626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR STE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130887112",
            "telephone_number": "315-870-9370",
            "fax_number": "315-870-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E MAIN ST STE 2A",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171400",
            "telephone_number": "315-714-2559",
            "fax_number": "315-386-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136761889",
            "country_code": "US",
            "telephone_number": "315-265-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCAN",
        "first_name": "SONJA",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NY

Sources for this page

Verify at the official NPI Registry.