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SYDNEY MARIE CAPODICASA NP
NPI 1154872927
Nurse Practitioner in Charlotte, NC

Active since October 17, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
15110 JOHN J DELANEY DR, STE 200, CHARLOTTE, NC 28277(704) 302-8100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 60 more (63 updates tracked since 2016).

About Sydney Marie Capodicasa Np NPPES

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

SYDNEY MARIE CAPODICASA NP (NPI 1154872927) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5009030) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154872927
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSYDNEY MARIE CAPODICASACredential: NP
Location Address15110 JOHN J DELANEY DR, STE 200Charlotte, NC 28277-3544
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 302-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 17, 2016
Last NPPES UpdateJuly 15, 202463 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1154872927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5009030
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15110 JOHN J DELANEY DR, Charlotte, NC 28277
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1332 N Trade St, Ste 2000Matthews, NC 28105-1728 · Phone (704) 302-8500
Location 213640 Steelecroft Pkwy, Ste 320Charlotte, NC 28278-7565 · Phone (704) 302-8900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sydney Marie Capodicasa Np 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 ID7618257585
PECOS Enrollment IDI20161212000487
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.

Areas of Expertise CMS Part B claims 9

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 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.
307 services193 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.
98 services89 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
52 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
52 services52 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
29 services11 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
25 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LAURA HINES LOWDER MD
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
PRIYA BAJAJ PILLAI MD
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
NAVID JALALI MD
Psychiatry & Neurology (Neurology)
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-9323
RHONDA SUE ARDELEAN PA
Physician Assistant
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SHALINEE JHA MD
Internal Medicine
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
SUNIA AYEZA PERVEZ MD
Hospitalist
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 302-8100
JOHN G PHILLIPS M. D.
Obstetrics & Gynecology
15110 JOHN J DELANEY DR, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 512-5100
ASHOK VALJIBHAI PATEL MD
Psychiatry & Neurology (Neurology)
15110 JOHN J DELANEY DR, STE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-9323

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 Sydney Capodicasa's NPI number?

The NPI number for Sydney Capodicasa is 1154872927. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Sydney Capodicasa located?

Sydney Capodicasa practices at 15110 John J Delaney Dr Ste 200, Charlotte, NC 28277. The listed phone number is (704) 302-8100.

What is Sydney Capodicasa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sydney Capodicasa enrolled in Medicare?

Yes. Sydney Capodicasa 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.

What insurance does Sydney Capodicasa accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Sydney Capodicasa 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.

Is Sydney Capodicasa affiliated with any hospitals?

According to CMS data, Sydney Capodicasa is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Sydney Capodicasa was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.