Individual provider Active NPI

Phila M Sasenbury

  • Family Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1336669043
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342020 Issued in NY
Practice address
600 Roe Ave Ste 4a
Elmira, NY 14905-1629
Phone
(607) 271-3780
Fax
(607) 271-3894
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 604130 NY
Family Nurse Practitioner 363LF0000X 342020 NY Primary

Addresses

Primary practice location

600 Roe Ave Ste 4a
Elmira, NY 14905-1629

Mailing address

571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050

Other identifiers 2

IdentifierTypeStateIssuer
103382724MedicaidPA
04836233MedicaidNY

Other names 1

  • Phila M Gilbert Other name

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
I20170920002396 NY Practitioner - Nurse Practitioner 7911271507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians
Ira Davenport Memorial Hospital, Inc.Group PAC ID 6406743459, 28 clinicians

Practice addresses (Care Compare)

600 Roe Ave
Elmira, NY 14905-1629
Phone 60773741004118

7571 State Route 54
Bath, NY 14810-9504
Phone (607) 776-8500

Hospital & facility affiliations

  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
604130NYMDRegistered Nurse
342020NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arnot Ogden Medical Center CurrentSince Mar 28, 2019 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 24, 2023 Accepting new patients
Arnot Ogden Medical Center CurrentSince Mar 28, 2019 Accepting new patients
Arnot Medical Services PLLC CurrentSince Sep 1, 2017 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 24, 2023 Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

600 Roe Ave
Fl 4
Elmira, NY 14905
Phone (607) 271-3780

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Fitch St
Ste 102
Elmira, NY 14905
Phone (607) 734-6544

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 4A
Elmira, NY 14905
Phone (607) 271-3780

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

Interoperability endpoints

  • Direct secure messaging: phila.sasenbury@arn.eclinicaldirectplus.com

Organizations & group practices 5

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1336669043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SAINT JOSEPHS BLVD FL 2",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013230",
            "telephone_number": "607-271-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROE AVE STE 4A",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051629",
            "telephone_number": "607-271-3780",
            "fax_number": "607-271-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASENBURY",
        "first_name": "PHILA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "604130",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103382724",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04836233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILA",
            "last_name": "GILBERT",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.