Individual provider Active NPI

Sara Colmer Syvinski, ANP

  • Adult Health Nurse Practitioner
  • Garner, NC
National Provider Identifier
1669776977
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5005030 Issued in NC
Practice address
300 Health Park Dr Ste 220
Garner, NC 27529-4685
Phone
(919) 250-5955
NPI assigned
Dec 29, 2010
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005030 NC
Adult Health Nurse Practitioner 363LA2200X 5005030 NC Primary

Addresses

Primary practice location

300 Health Park Dr Ste 220
Garner, NC 27529-4685

Mailing address

3404 Wake Forest Rd Ste 100
Raleigh, NC 27609-7341
Phone (919) 862-5400

Other identifiers 1

IdentifierTypeStateIssuer
5005030OtherNCNP NC LICENSE

Other names 1

  • Sara Elizabeth Colmer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssyvinski577772@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110218000366 NC Practitioner - Nurse Practitioner 2062693427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005030NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital, Inc CurrentSince Nov 26, 2019 Accepting new patients
Rex Hospital Inc Current Accepting new patients
North Carolina MG, LLC CurrentSince Nov 1, 2025 Accepting new patients
Rex Hospital Inc CurrentSince Nov 26, 2019 Accepting new patients

Locations

300 Health Park Dr
Ste 220
Garner, NC 27529
Phone (919) 250-5955

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105

Interoperability endpoints

  • Direct secure messaging: ssyvinski577772@direct.unc.nchie.net

Organizations & group practices 4

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.

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": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1669776977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 WAKE FOREST RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097341",
            "telephone_number": "919-862-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEALTH PARK DR STE 220",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294685",
            "telephone_number": "919-250-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYVINSKI",
        "first_name": "SARA",
        "middle_name": "COLMER",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005030",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5005030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP NC LICENSE",
            "identifier": "5005030",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssyvinski577772@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "300 Health Park Dr Ste 220",
            "city": "Garner",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275294685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "COLMER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.