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

Q: 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.

Q: What is Sonya Pursell's specialty?

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

Q: 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.

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: August 09, 2026.

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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

Phone(610) 378-2000

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

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Other Identifiers 1

OtherY03U8FL · Bc/bs Provider#

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

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.

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

Quality

55.53

Promoting Interoperability

100

Improvement Activities

Cost

49.57

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.

NICOLE BAUMGARTNER-FERNANDEZ DO

Internal Medicine