Individual provider Active NPI

Sabrina Starr Shebes, AGNP, CCRN

  • Adult Health Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1629693536
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
309874 Issued in NY
Practice address
994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone
(631) 543-1440
NPI assigned
Jun 16, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 309874 NY
Critical Care Medicine Registered Nurse 163WC0200X 702716-1 NY
Adult Health Nurse Practitioner 363LA2200X 309874 NY Primary

Addresses

Primary practice location

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211

Mailing address

994 W Jericho Tpke Ste 104
Smithtown, NY 11787-3211
Phone (631) 543-1440

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
I20210423000942 NY Practitioner - Nurse Practitioner 6305254772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy D. Groth MD PCGroup PAC ID 8921002320, 43 clinicians

Practice addresses (Care Compare)

994 W Jericho Tpke
Suite 104
Smithtown, NY 11787-3211
Phone (631) 543-1440

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
87.77
Promoting interoperability
100
Improvement activities
40
Cost
68.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702716-1NYMDCritical Care Medicine Registered Nurse
309874NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy D. Groth MD PC Single Specialty CurrentSince Apr 12, 2021 Accepting new patients

Locations

1500 Middle Country Rd
Centereach, NY 11720
Phone (631) 716-8758

285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300

285 Sills Rd
Bldg 9D
East Patchogue, NY 11772
Phone (631) 319-6107

1111 Broadhollow Rd
Ste 114
Farmingdale, NY 11735
Phone (516) 336-8659

81 N Broadway
Hicksville, NY 11801
Phone (516) 827-7400

184 Old Country Rd
Mineola, NY 11501
Phone (516) 294-4457

1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300

410 Hallock Ave
Port Jefferson Station, NY 11776
Phone (631) 642-1100

100 N Centre Ave
Ste 302
Rockville Centre, NY 11570

1500 William Floyd Pkwy
Ste 201
Shirley, NY 11967
Phone (631) 205-0800

1500 William Floyd Pkwy
Ste 203
Shirley, NY 11967

50 New York Ave
#25A
Smithtown, NY 11787
Phone (631) 309-5222

994 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 864-4499

994 W Jericho Tpke
Ste 104
Smithtown, NY 11787
Phone (516) 400-3595

1111 Route 110
South Farmingdale, NY 11735
Phone (267) 642-4091

49 Berry Hill Rd
Syosset, NY 11791
Phone (516) 921-3282

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sabrinashebes_35590@timothygrothmdpc.omnimddirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1629693536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873211",
            "telephone_number": "631-543-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W JERICHO TPKE STE 104",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873211",
            "telephone_number": "631-543-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEBES",
        "first_name": "SABRINA",
        "middle_name": "STARR",
        "name_prefix": "Mrs.",
        "credential": "AGNP, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "309874",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "702716-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.