SOPHIA JEAN FNP
NPI 1306534813
Nurse Practitioner - Family in Queens Village, NY

Q: What is Sophia Jean's NPI number?

The NPI number for Sophia Jean is 1306534813. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Q: What is Sophia Jean'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 Sophia Jean was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 24, 2023PECOS EnrolledAccepts Medicare Assignment

9345 216TH ST PH, QUEENS VILLAGE, NY 11428(718) 947-6063 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sophia Jean Fnp NPPES

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

SOPHIA JEAN FNP (NPI 1306534813) is an individual family provider in Queens Village, New York, licensed in New York (F351717) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306534813

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSOPHIA JEANCredential: FNP

Location Address9345 216TH ST PHQueens Village, NY 11428-1829

Mailing Address9345 216th St PhQueens Village, NY 11428-1829 · (718) 947-6063

Phone(718) 947-6063

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 24, 2023

NPPES CertifiedApril 24, 2023

✔ NPI 1306534813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in NY · F351717

9345 216TH ST PH, Queens Village, NY 11428

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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

Sophia Jean Fnp 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 ID4284082561

PECOS Enrollment IDI20231127002743

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 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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

106 services35 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

41 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11428 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 Jean's NPI number?

The NPI number for Sophia Jean is 1306534813. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Sophia Jean located?

Sophia Jean practices at 9345 216th St Ph, Queens Village, NY 11428. The listed phone number is (718) 947-6063.

What is Sophia Jean's specialty?

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

Is Sophia Jean enrolled in Medicare?

Yes. Sophia Jean 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.

When was this NPI record last updated?

The NPPES record for Sophia Jean was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.