NPIMap

Individual provider Active NPI

Carly Sleeper, RPA-C

  • Physician Assistant
  • Willsboro, NY
National Provider Identifier
1659635944
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015659 Issued in NY
Practice address
39 Farrell Rd
Willsboro, NY 12996-3904
Phone
(518) 963-4275
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015659 NY
Physician Assistant 363A00000X 015659 NY Primary

Addresses

Primary practice location

39 Farrell Rd
Willsboro, NY 12996-3904

Mailing address

39 Farrell Rd
Willsboro, NY 12996-3904
Phone (518) 963-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000015 NY Practitioner - Physician Assistant 8921235227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elizabethtown Community HospitalGroup PAC ID 3577554138, 62 clinicians

Practice addresses (Care Compare)

39 Farrell Rd
Willsboro, NY 12996-3904
Phone (518) 585-2831

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • Essex County Nursing Service Home health agency, Elizabethtown, NY, CCN 337118
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015659NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Aug 27, 2018 Accepting new patients

Locations

39 Farrell Rd
Willsboro, NY 12996
Phone (518) 523-8345

Interoperability endpoints

  • Direct secure messaging: csleeper465894@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

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 10

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": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1659635944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FARRELL RD",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963904",
            "telephone_number": "518-963-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FARRELL RD",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "129963904",
            "telephone_number": "518-963-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEEPER",
        "first_name": "CARLY",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015659",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willsboro, NY

Sources for this page

Verify at the official NPI Registry.