SAKURA JESSICA SIP
NPI 1356057715
Nurse Practitioner - Family in Canal Winchester, OH

Active since January 27, 2023PECOS EnrolledAccepts Medicare Assignment
6095 GENDER RD, CANAL WINCHESTER, OH 43110(614) 417-5196(614) 417-5197 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Mar 12, 2025, Jan 27, 2023 (3 updates tracked since 2023).

About Sakura Jessica Sip NPPES

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

SAKURA JESSICA SIP (NPI 1356057715) is an individual family provider in Canal Winchester, Ohio, licensed in Ohio (APRN.CNP.0032912) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356057715
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAKURA JESSICA SIP
Location Address6095 GENDER RDCanal Winchester, OH 43110-2014
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Fax(614) 417-5197
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 27, 2023
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
NPI 1356057715 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 OH · APRN.CNP.0032912
6095 GENDER RD, Canal Winchester, OH 43110

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

Sakura Jessica Sip 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 ID4587027420
PECOS Enrollment IDI20230825000800
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 5

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.
26 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43110 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 7

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

Nurse Practitioner (Family)
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Nurse Practitioner (Family)
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Pharmacist
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Pharmacy (Community/Retail Pharmacy)
6095 GENDER RD
CANAL WINCHESTER, OH 43110
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
6095 GENDER RD
CANAL WINCHESTER, OH 43110

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 Sakura Sip's NPI number?

The NPI number for Sakura Sip is 1356057715. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Sakura Sip located?

Sakura Sip practices at 6095 Gender Rd, Canal Winchester, OH 43110. The listed phone number is (614) 417-5196.

What is Sakura Sip's specialty?

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

Is Sakura Sip enrolled in Medicare?

Yes. Sakura Sip 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 Sakura Sip was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.