SARAH RANDRUP PROFFIT NP-C
NPI 1104459270
Nurse Practitioner - Family in New York, NY
About Sarah Randrup Proffit Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARAH RANDRUP PROFFIT NP-C (NPI 1104459270) is an individual family provider in New York, New York, licensed in Maryland (R181863) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sarah Randrup Proffit Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sarah Proffit reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Delmar, MD 21875
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Capital Digestive Care LLC
- 39 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10003
NEW YORK, NY 10003
NEW YORK, NY 10003
NEW YORK, NY 10003
NEW YORK, NY 10003
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 Proffit's NPI number?
The NPI number for Sarah Proffit is 1104459270. It was assigned to this individual provider in the NPPES registry on February 18, 2020.
Where is Sarah Proffit located?
Sarah Proffit practices at 228 Park Ave S Ste 16389, New York, NY 10003. The listed phone number is (646) 876-8455.
What is Sarah Proffit's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sarah Proffit enrolled in Medicare?
Yes. Sarah Proffit is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sarah Proffit's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Proffit reassigns Medicare benefits to 2 organizations: Peninsula Endoscopy Center, LLC (Delmar, MD) and Tidalhealth Specialty Care, LLC (Salisbury, MD). 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 Proffit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sarah Proffit accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Sarah Proffit 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 Sarah Proffit was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Sarah Randrup Proffit, NP-C · NPI 1104459270
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since February 18, 2020.
## Identity
- **NPI:** 1104459270 (Entity type: Individual)
- **Enumerated:** February 18, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R181863 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 228 PARK AVE S STE 16389, New York, NY 10003-0103
- **Phone:** (646) 876-8455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Peninsula Endoscopy Center, LLC (NPI 1023162013, Delmar, MD); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104459270) · Data from the CMS NPPES public registry.