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SOPHIA STALEY
NPI 1205507597
Nurse Practitioner - Critical Care Medicine in Flushing, NY

Active since September 26, 2021PECOS EnrolledAccepts Medicare Assignment
6716 PARSONS BLVD APT 6C, FLUSHING, NY 11365(718) 591-5308 Get Directions Write a Review

NPPES record last updated: September 26, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sophia Staley NPPES

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

SOPHIA STALEY (NPI 1205507597) is an individual critical care medicine provider in Flushing, New York, licensed in New York (F432146-01) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1205507597
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameSOPHIA STALEY
Location Address6716 PARSONS BLVD APT 6CFlushing, NY 11365-2958
Mailing Address6716 Parsons Blvd Apt 6cFlushing, NY 11365-2958
Phone(718) 591-5308
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 26, 2021
NPPES CertifiedSeptember 26, 2021
✔ NPI 1205507597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in NY · F432146-01
6716 PARSONS BLVD APT 6C, Flushing, NY 11365
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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 and accepts Medicare assignment

Sophia Staley 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 ID4284007931
PECOS Enrollment IDI20230301000293
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 Sophia Staley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Medical & Diagnostic Center Inc
1.8 mi
Family Medicine
8046 KEW GARDENS RD
Kew Gardens, NY 11415
  • Reassigned Medicare billing, New York enrollment
  • 44 clinicians in this Medicare group
NPI 1790771889 (718) 261-1000
The Queens Np Acute Care P.C.
1.9 mi
Internal Medicine
19303 UNION TPKE
Fresh Meadows, NY 11366
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: The Queens Np Acute Care, PC
NPI 1750266292 (323) 516-3964

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 11365 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Sophia Staley's NPI number?

The NPI number for Sophia Staley is 1205507597. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Sophia Staley located?

Sophia Staley practices at 6716 Parsons Blvd Apt 6C, Flushing, NY 11365. The listed phone number is (718) 591-5308.

What is Sophia Staley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Sophia Staley enrolled in Medicare?

Yes. Sophia Staley 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 Sophia Staley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Staley reassigns Medicare benefits to 2 organizations: New York Medical & Diagnostic Center Inc (Kew Gardens, NY) and The Queens Np Acute Care P.C. (Fresh Meadows, 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 Sophia Staley'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 Sophia Staley was last updated on September 26, 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.