SANDRA J PREVOST FNP
NPI 1023373602
Nurse Practitioner - Family in New Hartford, NY

Q: What is Sandra Prevost's NPI number?

The NPI number for Sandra Prevost is 1023373602. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Q: What is Sandra Prevost's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Prevost was last updated on August 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2012PECOS Enrolled

1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1522(315) 798-1535 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sandra J Prevost Fnp NPPES

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

SANDRA J PREVOST FNP (NPI 1023373602) is an individual family provider in New Hartford, New York, licensed in New York (337428) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023373602

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA J PREVOSTCredential: FNP

Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001

Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1522 · Fax (315) 798-1535

Phone(315) 798-1522

Fax(315) 798-1535

Sole ProprietorNo

Enumeration DateJuly 10, 2012

Last NPPES UpdateAugust 31, 2012

✔ NPI 1023373602 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 · 337428

1729 BURRSTONE RD, New Hartford, NY 13413

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra J Prevost 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13413 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.