SHARON PRIOR
NPI 1073183935
Nurse Practitioner - Psychiatric/Mental Health in Williamsville, NY

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment
5904 SHERIDAN DR STE 1, WILLIAMSVILLE, NY 14221(716) 886-5493 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sharon Prior NPPES

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

SHARON PRIOR (NPI 1073183935) is an individual psychiatric/mental health provider in Williamsville, New York, licensed in New York (402721) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073183935
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHARON PRIOR
Location Address5904 SHERIDAN DR STE 1Williamsville, NY 14221-5873
Mailing Address5904 Sheridan Dr Ste 1Williamsville, NY 14221-5873
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1073183935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402721
5904 SHERIDAN DR STE 1, Williamsville, NY 14221

Accepted Insurance

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

Sharon Prior 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 ID6204231806
PECOS Enrollment IDI20210819002422
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 Sharon Prior reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Psychiatry
5904 SHERIDAN DR, STE 1
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
Psychiatry
85 BRYANT WOODS S
Amherst, NY 14228
  • Reassigned Medicare billing, New York enrollment
  • 38 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 3

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.
219 services67 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
56 services27 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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 4

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

Psychiatry & Neurology (Psychiatry)
5904 SHERIDAN DR STE 1
WILLIAMSVILLE, NY 14221
Counselor (Mental Health)
5904 SHERIDAN DR STE 1
WILLIAMSVILLE, NY 14221
Psychologist
5904 SHERIDAN DR STE 1
WILLIAMSVILLE, NY 14221
Nurse Practitioner (Psychiatric/Mental Health)
5904 SHERIDAN DR STE 1
WILLIAMSVILLE, NY 14221

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 Sharon Prior's NPI number?

The NPI number for Sharon Prior is 1073183935. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Sharon Prior located?

Sharon Prior practices at 5904 Sheridan Dr Ste 1, Williamsville, NY 14221. The listed phone number is (716) 886-5493.

What is Sharon Prior's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sharon Prior enrolled in Medicare?

Yes. Sharon Prior 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 Sharon Prior's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sharon Prior reassigns Medicare benefits to 2 organizations: (Williamsville, NY) and Suburban Psychiatric Associates, LLP (Amherst, 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 Sharon Prior's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sharon Prior accept?

Health plans from Oscar Health list Sharon Prior as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sharon Prior was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.