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SHAWN PATRICK SPARKS GRNA
NPI 1457096257
Registered Nurse in Binghamton, NY

Active since May 05, 2022Accepts Medicare Assignment
65.31/100
CMS Quality Rating
169 RIVERSIDE DR, BINGHAMTON, NY 13905(600) 772-2726 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shawn Patrick Sparks Grna NPPES

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

SHAWN PATRICK SPARKS GRNA (NPI 1457096257) is an individual registered nurse in Binghamton, New York, licensed in New York (691423) and active in the NPI registry since May 2022. He is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457096257
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameSHAWN PATRICK SPARKSCredential: GRNA
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4198
Mailing Address40 Front St Ste CBinghamton, NY 13905-4712
Phone(600) 772-2726
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1457096257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NY · 691423
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 137558 (NY)
169 RIVERSIDE DR, Binghamton, NY 13905
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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

Shawn Patrick Sparks Grna 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 ID8426435827
PECOS Enrollment IDI20220524000288

Medicare Billing Reassignments

2

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

Riverside Associates In Anesthesia PC
5.7 mi
Anesthesiology
OUR LADY OF LOURDES HOSPITAL, 169 RIVERSIDE DRIVE
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1740276203 (607) 722-7264
360 Anesthesia PLLC
58 mi
Anesthesiology
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
NPI 1811637366 (570) 829-8111

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

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

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.

65.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.3
Improvement Activities40

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.

JOANN MARIE ERNST FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6701
ALISON BROOKHART MS, FNP-C
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
MISS JENNIFER LYNN HOPKINS NP
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5111
AYESHA MUNIR MD
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5725
FAIZA CHOUDHRY
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 789-5725
CARLEE PETERSON FNP
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-6166
SYDNEY MARIE LAURIA
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-5231
JAMES R STEINMETZ M.D.
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905
Broome County (607) 729-7666

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 Shawn Sparks's NPI number?

The NPI number for Shawn Sparks is 1457096257. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Shawn Sparks located?

Shawn Sparks practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (600) 772-2726.

What is Shawn Sparks's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Shawn Sparks enrolled in Medicare?

Yes. Shawn Sparks 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 Shawn Sparks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Sparks reassigns Medicare benefits to 2 organizations: Riverside Associates In Anesthesia PC (Binghamton, NY) and 360 Anesthesia PLLC (Wilkes Barre, PA). 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 Shawn Sparks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shawn Sparks affiliated with any hospitals?

According to CMS data, Shawn Sparks is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Shawn Sparks was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.