Individual provider Active NPI

Sabrina Elise Shander, CRNP

  • Family Nurse Practitioner
  • Lake Ariel, PA
National Provider Identifier
1336928571
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP028235 Issued in PA
Practice address
543 Easton Tpke
Lake Ariel, PA 18436-4718
Phone
(570) 689-9965
Fax
(570) 689-0387
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 SP028235 PA Primary

Addresses

Primary practice location

543 Easton Tpke
Lake Ariel, PA 18436-4718

Mailing address

601 Park St
Honesdale, PA 18431-1445

Other names 1

  • Sabrina Elise Muchal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231127001226 PA Practitioner - Nurse Practitioner 0345698783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Memorial Community Health CentersGroup PAC ID 3072598937, 47 clinicians

Practice addresses (Care Compare)

358 Hamlin Hwy
Lake Ariel, PA 18436-9382
Phone (570) 689-2242

543 Easton Tpke
Lake Ariel, PA 18436-4718
Phone (570) 689-9965

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028235PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Nov 1, 2023 Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Nov 1, 2023 Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

1839 Fair Ave
Honesdale, PA 18431
Phone (570) 251-6500

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

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 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": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1336928571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PARK ST",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 EASTON TPKE",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184364718",
            "telephone_number": "570-689-9965",
            "fax_number": "570-689-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDER",
        "first_name": "SABRINA",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABRINA",
            "last_name": "MUCHAL",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Ariel, PA

Sources for this page

Verify at the official NPI Registry.