Individual provider Active NPI

Sandra A Pike, NP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1255598868
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F3353821 Issued in NY
Practice address
144 W 5TH St
Oswego, NY 13126-2552
Phone
(315) 342-1765
Fax
(315) 342-1742
NPI assigned
May 21, 2008
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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 F3353821 NY Primary

Addresses

Primary practice location

144 W 5TH St
Oswego, NY 13126-2552

Mailing address

144 W 5TH St
Oswego, NY 13126-2552
Phone (315) 342-1765

Other identifiers 1

IdentifierTypeStateIssuer
F3353821OtherNYLICENSE

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
I20151013000635 NY Practitioner - Nurse Practitioner 5890926984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dator Medical, PLLCGroup PAC ID 5799276549, 3 clinicians

Practice addresses (Care Compare)

177 W 4TH St
Oswego, NY 13126-3009
Phone (315) 343-2151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.61 of 100Reported as apm
Quality
61.22
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3353821NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: spike@hiemail.healtheconnections.org
  • Direct secure messaging: spike@oswegoprimecare.amazing-direct.com

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1255598868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 5TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262552",
            "telephone_number": "315-342-1765",
            "fax_number": "315-342-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 5TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262552",
            "telephone_number": "315-342-1765",
            "fax_number": "315-342-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "SANDRA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3353821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F3353821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.