DR. CLAUDINE SAPINI PMHNP-BC
NPI 1205326188
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11 HANOVER SQ FL 18, NEW YORK, NY 10005(917) 456-8755(888) 481-1216 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2026, Oct 14, 2022, Jun 30, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Claudine Sapini Pmhnp-bc NPPES

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

DR. CLAUDINE SAPINI PMHNP-BC (NPI 1205326188) is an individual psychiatric/mental health provider in New York, New York, licensed in Connecticut (13338) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205326188
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. CLAUDINE SAPINICredential: PMHNP-BC
Location Address11 HANOVER SQ FL 18New York, NY 10005-2847
Mailing Address329 S Oyster Bay Rd # 2013Plainview, NY 11803-3301 · (917) 456-8755 · Fax (888) 481-1216
Fax(888) 481-1216
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 16, 2018
Last NPPES UpdateJune 29, 20264 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1205326188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 13338
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X · License 402124 (NY)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 402124 (NY)
11 HANOVER SQ FL 18, New York, NY 10005

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

Dr. Claudine Sapini Pmhnp-bc 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 ID6901137231
PECOS Enrollment IDI20191017000190
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

9

Medicare enrollment records show Claudine Sapini reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
213 W 35TH ST
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Post Graduate Center For Mental Health
  • 18 clinicians in this Medicare group
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
Addiction Medicine
967 N BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • 130 clinicians in this Medicare group
Emergency Medicine
128 ASHFORD AVE
Dobbs Ferry, NY 10522
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group
Mental Health
1808 ROUTE 6
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
Mental Health
828 FEDERAL RD STE B
Brookfield, CT 06804
  • Reassigned Medicare billing, Connecticut and New York enrollments
  • 11 clinicians in this Medicare group
Professional
2911 DIXWELL AVE STE 301, SUITE 9
Hamden, CT 06518
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
177 mi
Family Medicine
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 657 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 2

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
39 services15 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.
33 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10005 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.27
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Psychiatry)
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Social Worker
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Nurse Practitioner (Psychiatric/Mental Health)
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Psychiatry & Neurology (Psychiatry)
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Psychiatry & Neurology (Psychiatry)
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Nurse Practitioner (Psychiatric/Mental Health)
11 HANOVER SQ FL 18
NEW YORK, NY 10005
Social Worker (Clinical)
11 HANOVER SQ FL 18
NEW YORK, NY 10005

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 Claudine Sapini's NPI number?

The NPI number for Claudine Sapini is 1205326188. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Claudine Sapini located?

Claudine Sapini practices at 11 Hanover Sq Fl 18, New York, NY 10005. The listed phone number is (917) 456-8755.

What is Claudine Sapini's specialty?

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

Is Claudine Sapini enrolled in Medicare?

Yes. Claudine Sapini 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 Claudine Sapini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudine Sapini reassigns Medicare benefits to 9 organizations: Postgraduate Center For Mental Health (New York, NY), Sun River Health Inc (Bronx, NY), Symphony Medical PC (Yonkers, NY), Dobbs Ferry Emergency Medicine, PC (Dobbs Ferry, NY), Putnam Family And Community Services Inc (Carmel, NY) and 4 more organizations, listed in the Medicare section above. 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 Claudine Sapini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudine Sapini accept?

Health plans from Anthem Blue Cross and Blue Shield list Claudine Sapini 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 Claudine Sapini was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.