JOHNINE MELINDA SUMPTER FNP
NPI 1073077012
Nurse Practitioner - Family in Brooklyn, NY

Active since January 23, 2019PECOS EnrolledAccepts Medicare Assignment
546 EASTERN PARKWAY, BROOKLYN, NY 11225(718) 604-4800(718) 604-4828 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 2, 2022, Oct 5, 2022, Jan 23, 2019 (3 updates tracked since 2019).

About Johnine Melinda Sumpter Fnp NPPES

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

JOHNINE MELINDA SUMPTER FNP (NPI 1073077012) is an individual family provider in Brooklyn, New York, licensed in New York (F343763-1) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2018).

NPPES Registry Identity

NPI1073077012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNINE MELINDA SUMPTERCredential: FNP
Location Address546 EASTERN PARKWAYBrooklyn, NY 11225-1604
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 604-4828
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2018
Enumeration DateJanuary 23, 2019
Last NPPES UpdateNovember 2, 20223 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1073077012 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 · F343763-1
546 EASTERN PARKWAY, Brooklyn, NY 11225

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnine Melinda Sumpter Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254708548
PECOS Enrollment IDI20221028001617
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

2

Medicare enrollment records show Johnine Sumpter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6122G FRESH POND RD
Middle Village, NY 11379
  • Reassigned Medicare billing, New York enrollment
  • 69 clinicians in this Medicare group
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 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 6

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.

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.
73 services73 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services34 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.
24 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11225 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 10

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

Internal Medicine
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225
Pediatrics
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225
Internal Medicine
546 EASTERN PARKWAY
BROOKLYN, NY 11225
Nutritionist
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225
Surgery
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225
Ophthalmology
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225
Obstetrics & Gynecology
546 EASTERN PARKWAY
BROOKLYN, NY 11225
Pediatrics
546 EASTERN PARKWAY, EMPIRE CENTER
BROOKLYN, NY 11225

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 Johnine Sumpter's NPI number?

The NPI number for Johnine Sumpter is 1073077012. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Johnine Sumpter located?

Johnine Sumpter practices at 546 Eastern Parkway, Brooklyn, NY 11225. The listed phone number is (718) 604-4800.

What is Johnine Sumpter's specialty?

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

Is Johnine Sumpter enrolled in Medicare?

Yes. Johnine Sumpter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Johnine Sumpter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnine Sumpter reassigns Medicare benefits to 2 organizations: Josef Schenker MD PC (Middle Village, NY) and Advantagecare Physicians PC (New York, NY). 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 Johnine Sumpter'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 Johnine Sumpter was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.