Sandra J Brill, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP009722 Issued in PA

Practice address

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840

Phone

(570) 724-5766

NPI assigned

Jan 26, 2007

Last updated

Apr 6, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deerfield Behavioral Health of Warren, LLCGroup PAC ID 8325935661, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deerfield Behavioral Health of Warren, LLC

  • Psychiatry Physician
  • Warren, PA
  • NPI 1134158314
  Medicare reassignment Care Compare group NPD
• The Pennsylvania State University

  dba Speech and Hearing Clinic

  • Hearing and Speech Clinic/Center
  • University Park, PA
  • NPI 1356670608
  NPD (past)
• The Pennsylvania State University

  dba Psychological Clinic

  • Public Health or Welfare Agency
  • University Park, PA
  • NPI 1386784593
  NPD (past)
• Tioga County Dept. of Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, PA
  • NPI 1396752309
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207440000000",
    "number": "1821144361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009722",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420571-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP001700G",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020876590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen T Bortz, PHARMD
• Robert M Bowers, MD
• John Frederick Brannaka
• Daniel Lee Branzburg, FNP-C
• Ivan T. Brechbill, M.D.
• Geraldine Rose Avidano Britton, RN, FNP, PHD
• Broad Acres Nursing Home Association (Broad Acres Health & Rehabilitation Center)
• Jennifer Elizabeth Broughton, COTAL
• Kathy D Brownlee, LPC
• Buffalo Vamc

• Family Nurse Practitioner in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2008; 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.