SANDRA BYRNES FNP
NPI 1346621612
Nurse Practitioner - Family in Hamden, CT

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
9 WASHINGTON AVE, HAMDEN, CT 06518(203) 281-6811 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandra Byrnes Fnp NPPES

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

SANDRA BYRNES FNP (NPI 1346621612) is an individual family provider in Hamden, Connecticut, licensed in Connecticut (12.006131) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1346621612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA BYRNESCredential: FNP
Location Address9 WASHINGTON AVEHamden, CT 06518-3267
Mailing Address9 Washington AveHamden, CT 06518-3267 · (203) 281-6811
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateApril 16, 2019
NPI 1346621612 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 CT · 12.006131
9 WASHINGTON AVE, Hamden, CT 06518

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

Sandra Byrnes 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 ID4587979265
PECOS Enrollment IDI20150811004315
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 10

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.
103 services66 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.
82 services49 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.
35 services35 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
29 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$30.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Specialist
9 WASHINGTON AVE
HAMDEN, CT 06518
Internal Medicine (Cardiovascular Disease)
9 WASHINGTON AVE
HAMDEN, CT 06518
Orthopaedic Surgery
9 WASHINGTON AVE
HAMDEN, CT 06518
Pediatrics
9 WASHINGTON AVE
HAMDEN, CT 06518
Registered Nurse
9 WASHINGTON AVE
HAMDEN, CT 06518
Pediatrics
9 WASHINGTON AVE
HAMDEN, CT 06518
Urology
9 WASHINGTON AVE, SUITE 3A
HAMDEN, CT 06518
Internal Medicine
9 WASHINGTON AVE
HAMDEN, CT 06518

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 Sandra Byrnes's NPI number?

The NPI number for Sandra Byrnes is 1346621612. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Sandra Byrnes located?

Sandra Byrnes practices at 9 Washington Ave, Hamden, CT 06518. The listed phone number is (203) 281-6811.

What is Sandra Byrnes's specialty?

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

Is Sandra Byrnes enrolled in Medicare?

Yes. Sandra Byrnes 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 Sandra Byrnes was last updated on April 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.