SARAH DUNHAM FNP
NPI 1003367038
Nurse Practitioner - Family in Utica, NY

Active since October 14, 2016PECOS Enrolled
1650 CHAMPLIN AVE, UTICA, NY 13502(315) 624-8400 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 27, 2020, Oct 14, 2016 (2 updates tracked since 2016).

About Sarah Dunham Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH DUNHAM FNP (NPI 1003367038) is an individual family provider in Utica, New York, licensed in New York (340697) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003367038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH DUNHAMCredential: FNP
Location Address1650 CHAMPLIN AVEUtica, NY 13502-4801
Mailing Address2209 Genesee Street, Business Office Room 315Utica, NY 13501 · (315) 801-3282 · Fax (315) 801-8391
Sole ProprietorNo
Enumeration DateOctober 14, 2016
Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration
✔ NPI 1003367038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 340697
1650 CHAMPLIN AVE, Utica, NY 13502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Dunham Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Sarah Dunham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

2.1 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 clinicians in this Medicare group
Multi-Specialty
445 PARK AVE
Brooklyn, NY 11205
  • Reassigned Medicare billing, New York enrollment
  • 193 clinicians in this Medicare group
Family Medicine
1175 E 26TH ST
Brooklyn, NY 11210
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
Adult Health
600 CLEMENTS BRIDGE RD
Barrington, NJ 08007
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
71 services42 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
44 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Home Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Community Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Home Health
1650 CHAMPLIN AVE
UTICA, NY 13502
Occupational Therapist
1650 CHAMPLIN AVE
UTICA, NY 13502
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1650 CHAMPLIN AVE
UTICA, NY 13502
Registered Nurse (Home Health)
1650 CHAMPLIN AVE
UTICA, NY 13502
Physical Medicine & Rehabilitation
1650 CHAMPLIN AVE
UTICA, NY 13502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sarah Dunham's NPI number?

The NPI number for Sarah Dunham is 1003367038. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Sarah Dunham located?

Sarah Dunham practices at 1650 Champlin Ave, Utica, NY 13502. The listed phone number is (315) 624-8400.

What is Sarah Dunham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Dunham enrolled in Medicare?

Yes. Sarah Dunham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Dunham reassigns Medicare benefits to 4 organizations: Mvhs Inc (Utica, NY), Parcare Community Health Network Inc (Brooklyn, NY), Scarborough Medical Services PC (Brooklyn, NY) and Wound Healing Solutions LLC (Barrington, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Dunham was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.