Individual provider Active NPI

Inkeong Sikora, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brewster, NY
National Provider Identifier
1689309627
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402917 Issued in NY
Practice address
15 Mount Ebo Rd S
Brewster, NY 10509-4092
Phone
(845) 278-6930
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 646777 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402917 NY Primary

Addresses

Primary practice location

15 Mount Ebo Rd S
Brewster, NY 10509-4092

Mailing address

15 Mount Ebo Rd S
Brewster, NY 10509-4092
Phone (845) 278-6930

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
I20221206003132 NY Practitioner - Nurse Practitioner 9638548027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michael Hargrove MD PLLCGroup PAC ID 9537515937, 7 clinicians

Practice addresses (Care Compare)

3505 Hill Blvd
Suite K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
646777NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Aug 21, 2023 Accepting new patients
Hudson Valley Regional Community Health Centers Inc CurrentSince Aug 21, 2023 Accepting new patients

Locations

15 Mount Ebo Rd S
Brewster, NY 10509
Phone (845) 278-6930

15 Mount Ebo Rd S
Ste 1
Brewster, NY 10509
Phone (845) 278-6930

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1689309627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094092",
            "telephone_number": "845-278-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOUNT EBO RD S",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094092",
            "telephone_number": "845-278-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "INKEONG",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646777",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.