SONIA LIPSON NP
NPI 1396730800
Nurse Practitioner in Dorchester, MA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
398 NEPONSET AVE, DORCHESTER, MA 02122(617) 282-3200(617) 265-9719 Get Directions Write a Review

NPPES record last updated: June 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sonia Lipson Np NPPES

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

SONIA LIPSON NP (NPI 1396730800) is an individual nurse practitioner in Dorchester, Massachusetts, licensed in Massachusetts (159915) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1396730800
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSONIA LIPSONCredential: NP
Location Address398 NEPONSET AVEDorchester, MA 02122-3134
Mailing Address398 Neponset AvenueDorchester, MA 02122 · (617) 282-3200 · Fax (617) 265-9719
Fax(617) 265-9719
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJune 10, 2013
NPI 1396730800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · 159915
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
398 NEPONSET AVE, Dorchester, MA 02122

Other Identifiers 3

Medicaid1303775MA
Medicare ID-Type UnspecifiedNP3564MA
Medicare UPINP43211

Accepted Insurance

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

Sonia Lipson Np 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 ID6608961958
PECOS Enrollment IDI20071001000688
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

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.

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.
34 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02122 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims56 services$6.21 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.

Registered Nurse (Ambulatory Care)
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Pharmacist
398 NEPONSET AVE
DORCHESTER, MA 02122
Licensed Practical Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse (Community Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner (Women's Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Specialist
398 NEPONSET AVE
DORCHESTER, MA 02122

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 Sonia Lipson's NPI number?

The NPI number for Sonia Lipson is 1396730800. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Sonia Lipson located?

Sonia Lipson practices at 398 Neponset Ave, Dorchester, MA 02122. The listed phone number is (617) 282-3200.

What is Sonia Lipson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sonia Lipson enrolled in Medicare?

Yes. Sonia Lipson 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.

What insurance does Sonia Lipson accept?

Health plans from Anthem Blue Cross and Blue Shield list Sonia Lipson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sonia Lipson affiliated with any hospitals?

According to CMS data, Sonia Lipson is affiliated with Boston Medical Center and South Shore Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Lipson was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.