Individual provider Active NPI

Sarah Elizabeth Scullion, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Dunkirk, NY
National Provider Identifier
1922624725
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345909 Issued in NY
Practice address
447 Lake Shore Dr W
Dunkirk, NY 14048-1479
Phone
(716) 366-6710
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345909 NY Primary

Addresses

Primary practice location

447 Lake Shore Dr W
Dunkirk, NY 14048-1479

Mailing address

46 Brenton LN
Hamburg, NY 14075-4328
Phone (716) 515-5259

Other practice location 1

2806 George St
Eden, NY 14057-1205
Phone (716) 992-3987

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
I20200924001903 NY Practitioner - Nurse Practitioner 7214356237 Reassigns benefits to 3 organizations

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
Statline Medical PCGroup PAC ID 7214333525, 10 clinicians

Practice addresses (Care Compare)

200 White Plains Rd
Suite 110
Tarrytown, NY 10591-5805
Phone (914) 215-4748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
345909NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Family Medicine Assoc PC CurrentSince Jul 19, 2021 Accepting new patients
Orchard Park Family Practice, PC CurrentSince Nov 1, 2023 Accepting new patients
Statline Medical PC CurrentSince Dec 14, 2024 Accepting new patients
General Physician, PC PastSince Jul 19, 2021 Accepting new patients

Locations

7060 Erie Rd
Ste 100
Derby, NY 14047
Phone (716) 947-0408

447 Lake Shore Dr W
Dunkirk, NY 14048
Phone (716) 366-6710

2806 George St
Eden, NY 14057
Phone (716) 366-9008

10626 Main St
North Collins, NY 14111
Phone (716) 337-2422

3670 S Benzing Rd
Ste A
Orchard Park, NY 14127
Phone (716) 631-0380

451 Broad St
Salamanca, NY 14779
Phone (716) 945-1800

200 White Plains Rd
Ste 110
Tarrytown, NY 10591
Phone (914) 848-4343

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1922624725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BRENTON LN",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754328",
            "telephone_number": "716-515-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 LAKE SHORE DR W",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140481479",
            "telephone_number": "716-366-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2806 George St",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NY",
            "postal_code": "140571205",
            "country_code": "US",
            "telephone_number": "716-992-3987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLION",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

Verify at the official NPI Registry.