Sophie Szwagiel Dickinson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

330085 Issued in NY

Practice address

23 Ontario St
Honeoye Falls, NY 14472-1149

Phone

(585) 624-2121

Fax

(585) 624-7283

NPI assigned

Jun 30, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment NPD
• Strong Obstetrics-Gynecology Group

  • Obstetrics & Gynecology Physician
  • Rochester, NY
  • NPI 1184668311
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1629007059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 NELSON ST",
            "address_2": "SUITE 310",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211944",
            "telephone_number": "315-253-4463",
            "fax_number": "315-253-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ONTARIO ST",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721149",
            "telephone_number": "585-624-2121",
            "fax_number": "585-624-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Nelson St",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211944",
            "country_code": "US",
            "telephone_number": "315-253-4463",
            "fax_number": "315-253-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "SOPHIE",
        "middle_name": "SZWAGIEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "330085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "NP0503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P019330085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen William Coleman, DPT
• Timothy Jon Damon, DDS
• Daniel Kloc PLLC
• Renee Marie Davis, ATC
• Tracy Lee Denise, L.P.N.
• Anne M Dobbertin
• Irene Dobstaff, MSED
• Sara Dolan, LMHC
• Sheryl Ehrmentraut, MD
• Sandra Joan Erb Petruccione

• Nurse Practitioner in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.