MRS. SONYA M PURSELL ARNP
NPI 1396998464
Nurse Practitioner - Adult Health in Reading, PA

Active since November 02, 2008PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
2500 BERNVILLE RD, READING, PA 19605(610) 378-2000(610) 378-2799 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sonya M Pursell Arnp NPPES

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

MRS. SONYA M PURSELL ARNP (NPI 1396998464) is an individual adult health provider in Reading, Pennsylvania, licensed in Pennsylvania (SP018961) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1396998464
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SONYA M PURSELLCredential: ARNP
Location Address2500 BERNVILLE RDReading, PA 19605-9453
Mailing Address2500 Bernville RdReading, PA 19605-9453 · (610) 378-2000 · Fax (610) 378-2799
Fax(610) 378-2799
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 2, 2008
Last NPPES UpdateOctober 29, 2018
✔ NPI 1396998464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in PA · SP018961✔ Licensed in FL · 3071482
2500 BERNVILLE RD, Reading, PA 19605

Other Identifiers 1

OtherY03U8FL · Bc/bs Provider#

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sonya M Pursell Arnp 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 ID7719026061
PECOS Enrollment IDI20181205000756
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sonya Pursell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2500 BERNVILLE RD
Reading, PA 19605
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 251 clinicians in this Medicare group
Cardiovascular Disease
7807 BAYMEADOWS RD E, SUITE 209
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 124 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
203 services105 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19605 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.53
Promoting Interoperability100
Improvement Activities40
Cost49.57

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers23 claims23 services$16.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers25 claims25 services$81.93 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.

Internal Medicine
2500 BERNVILLE RD
READING, PA 19605
Radiology (Diagnostic Radiology)
2500 BERNVILLE RD
READING, PA 19605
Student in an Organized Health Care Education/Training Program
2500 BERNVILLE RD
READING, PA 19605
Radiology (Diagnostic Radiology)
2500 BERNVILLE RD
READING, PA 19605
Internal Medicine
2500 BERNVILLE RD
READING, PA 19605
Midwife
2500 BERNVILLE RD
READING, PA 19605
Hospitalist
2500 BERNVILLE RD
READING, PA 19605
Nurse Practitioner (Family)
2500 BERNVILLE RD
READING, PA 19605

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 Sonya Pursell's NPI number?

The NPI number for Sonya Pursell is 1396998464. It was assigned to this individual provider in the NPPES registry on November 2, 2008.

Where is Sonya Pursell located?

Sonya Pursell practices at 2500 Bernville Rd, Reading, PA 19605. The listed phone number is (610) 378-2000.

What is Sonya Pursell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sonya Pursell enrolled in Medicare?

Yes. Sonya Pursell 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.

Which organizations bill Medicare for Sonya Pursell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonya Pursell reassigns Medicare benefits to 2 organizations: St. Joseph Medical Group (Reading, PA) and Cardiac Vision LLC (Jacksonville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sonya Pursell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sonya Pursell affiliated with any hospitals?

According to CMS data, Sonya Pursell is affiliated with Reading Hospital, Penn State Health St. Joseph and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Sonya Pursell was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.