Individual provider Active NPI

Sonja Schaffer

  • Family Nurse Practitioner
  • Charlton, MA
National Provider Identifier
1336694439
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2289480 Issued in MA
Practice address
9 Trolley Crossing Rd
Charlton, MA 01507-1351
Phone
(508) 784-1278
Fax
(508) 784-1279
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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 RN2289480 MA Primary

Addresses

Primary practice location

9 Trolley Crossing Rd
Charlton, MA 01507-1351

Mailing address

9 Trolley Crossing Rd
Charlton, MA 01507-1351
Phone (508) 784-1278

Other practice location 1

128 Main St
Sturbridge, MA 01566-1556
Phone (508) 347-9240

Other practice location 2

9 Trolley Crossing Rd
Charlton, MA 01507-1351
Phone (508) 784-1278

Other practice location 3

128 Main St
Sturbridge, MA 01566-1556
Phone (508) 347-9240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160923000636 MA Practitioner - Nurse Practitioner 4789971474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Vincent Physician Services IncGroup PAC ID 8921056276, 71 clinicians
Shane Speirs MD II PLLCGroup PAC ID 3971083148, 17 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216

813 Southbridge St
Auburn, MA 01501-1323
Phone (508) 784-1278

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2289480MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Vincent Physician Services, Inc. CurrentSince Feb 21, 2018 Accepting new patients
Umass Memorial Health-Harrington Hospital Inc Past Accepting new patients

Locations

813 Southbridge St
Auburn, MA 01501
Phone (508) 784-1278

9 Trolley Crossing Rd
Charlton, MA 01507
Phone (508) 784-1278

123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327

Interoperability endpoints

  • Direct secure messaging: sonja.schaffer.1@626.direct.athenahealth.com

Organizations & group practices 3

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1336694439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TROLLEY CROSSING RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071351",
            "telephone_number": "508-784-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TROLLEY CROSSING RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071351",
            "telephone_number": "508-784-1278",
            "fax_number": "508-784-1279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Main St",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661556",
            "country_code": "US",
            "telephone_number": "508-347-9240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Trolley Crossing Rd",
            "address_purpose": "LOCATION",
            "city": "Charlton",
            "state": "MA",
            "postal_code": "015071351",
            "country_code": "US",
            "telephone_number": "508-784-1278",
            "fax_number": "508-784-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Main St",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661556",
            "country_code": "US",
            "telephone_number": "508-347-9240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "SONJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2289480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlton, MA

Sources for this page

Verify at the official NPI Registry.