SYLVIA MARIE FALLON RN
NPI 1285087023
Nurse Practitioner - Family in New York, NY

Q: What is Sylvia Fallon's NPI number?

The NPI number for Sylvia Fallon is 1285087023. It was assigned to this individual provider in the NPPES registry on July 17, 2016.

Q: What is Sylvia Fallon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sylvia Fallon was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 17, 2016PECOS Enrolled

150 ESSEX ST, NEW YORK, NY 10002(212) 477-1120(212) 477-8957 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sylvia Marie Fallon Rn NPPES

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

SYLVIA MARIE FALLON RN (NPI 1285087023) is an individual family provider in New York, New York, licensed in New York (F341646) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1285087023

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSYLVIA MARIE FALLONCredential: RN

Location Address150 ESSEX STNew York, NY 10002-2301

Mailing Address60 Madison Ave Fl 5New York, NY 10010-1600 · (212) 545-2439 · Fax (646) 312-0481

Phone(212) 477-1120

Fax(212) 477-8957

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 17, 2016

Last NPPES UpdateOctober 6, 2017

✔ NPI 1285087023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · F341646

Also ListedRegistered NurseTaxonomy 163W00000X · License 650134 (NY)

150 ESSEX ST, New York, NY 10002

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Secondary Practice Location 1

Location 1418 Pacific St, Ground FloorBrooklyn, NY 11217-2203 · Phone (614) 439-1916 ext. 91916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company 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 (PECOS)

Sylvia Marie Fallon Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800156555

PECOS Enrollment IDI20230330002297

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 3

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 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.

42 services41 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.

26 services24 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430048

Location1440 N Main StSpearfish, SD 57783 · Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10002 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.

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.

MS. HOLLY H WEINER CNM

Advanced Practice Midwife