ANDREA SACKS MSN, CPNP, RN
NPI 1205475571
Nurse Practitioner - Pediatrics in Boston, MA

Q: What is Andrea Sacks's NPI number?

The NPI number for Andrea Sacks is 1205475571. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Q: What is Andrea Sacks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Sacks was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 03, 2020PECOS Enrolled

300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2020, Jan 3, 2020 (2 updates tracked since 2020).

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About Andrea Sacks Msn, Cpnp, Rn NPPES

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

ANDREA SACKS MSN, CPNP, RN (NPI 1205475571) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN2307209) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205475571

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameANDREA SACKSCredential: MSN, CPNP, RN

Location Address300 LONGWOOD AVEBoston, MA 02115-5724

Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-6000

Phone(617) 355-6000

Sole ProprietorNo

Enumeration DateJanuary 3, 2020

Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration

✔ NPI 1205475571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MA · RN2307209

300 LONGWOOD AVE, Boston, MA 02115

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Sacks Msn, Cpnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

Boston Pediatric Neurosurgical Foundation, Inc.

Same address

Neurological Surgery

300 LONGWOOD AVE, DEPARTMENT OF NEUROSURGERY, CHILDREN'S HOSPITAL BOSTON
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
34 clinicians in this Medicare group

NPI 1871523753 (617) 355-6446

C H Neurology Foundation Inc

Same address

Neurology with Special Qualifications in Child Neurology

300 LONGWOOD AVE, FEGAN 11
Boston, MA 02115

Reassigned Medicare billing, Massachusetts enrollment
153 clinicians in this Medicare group

NPI 1063432417 (617) 355-6388

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

JULIE ANN HANSEN LCSW

Social Worker (Clinical)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (857) 218-4309

MS. ANNA ROGLIERI

Nurse Practitioner (Psychiatric/Mental Health)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

STEPHEN G. FLYNN M.D.

Anesthesiology (Pediatric Anesthesiology)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

MRS. LAUREN ASHLEY SHARIS P.T., D.P.T

Physical Therapist

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-7216

MS. SOYUN KWAN LICSW

Social Worker (Clinical)

300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115

Suffolk County (617) 355-0567

PUJA BANKA M.D.

Pediatrics

300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115

Suffolk County (617) 355-6363

MR. COURTNEY SULLIVAN FRATTO CPNP

Nurse Practitioner (Pediatrics)

300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115

Suffolk County (857) 218-4085

DR. ELIZABETH S TAGLAUER M.D., PH.D.

Pediatrics (Neonatal-Perinatal Medicine)

300 LONGWOOD AVE
BOSTON, MA 02115

Suffolk County (617) 355-6000

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 Andrea Sacks's NPI number?

The NPI number for Andrea Sacks is 1205475571. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Where is Andrea Sacks located?

Andrea Sacks practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Andrea Sacks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Andrea Sacks enrolled in Medicare?

Yes. Andrea Sacks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Sacks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Sacks reassigns Medicare benefits to 2 organizations: Boston Pediatric Neurosurgical Foundation, Inc. (Boston, MA) and C H Neurology Foundation Inc (Boston, MA). 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 Andrea Sacks'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 Andrea Sacks was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.