Individual provider Active NPI

Steven Sickler, DNP, FNP-BC, RNFA

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1265846299
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33 338846 Issued in NY
Practice address
2 Ellinwood Dr
New Hartford, NY 13413-1102
Phone
(315) 724-1012
Fax
(315) 235-2039
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 33 338846 NY Primary

Addresses

Primary practice location

2 Ellinwood Dr
New Hartford, NY 13413-1102

Mailing address

100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369

Other identifiers 1

IdentifierTypeStateIssuer
03948501MedicaidNY

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
I20141023001380 NY Practitioner - Nurse Practitioner 8527289198 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33 338846NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Jul 16, 2017 Accepting new patients
MVHS Inc CurrentSince Jul 16, 2017 Accepting new patients
Central New York Brain & Spine Neurosurgery PLLC CurrentSince Apr 1, 2022 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Sep 1, 2014 Accepting new patients

Locations

83 Genesee St
New Hartford, NY 13413
Phone (315) 732-0995

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

107 E Chestnut St
Ste 105
Rome, NY 13440
Phone (315) 336-8302

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Organizations & group practices 4

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1265846299",
    "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": "315-870-9369",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ELLINWOOD DR",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131102",
            "telephone_number": "315-724-1012",
            "fax_number": "315-235-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 338846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03948501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.