SARAH FORMICA PMHNP-BC
NPI 1528515533
Nurse Practitioner - Psychiatric/Mental Health in Midlothian, VA

Q: What is Sarah Formica's NPI number?

The NPI number for Sarah Formica is 1528515533. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Sarah Formica's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Formica was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment

2808 FOX CHASE LN, MIDLOTHIAN, VA 23112(804) 303-9622 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Jan 14, 2021 (2 updates tracked since 2021).

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About Sarah Formica Pmhnp-bc NPPES

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

SARAH FORMICA PMHNP-BC (NPI 1528515533) is an individual psychiatric/mental health provider in Midlothian, Virginia, licensed in Virginia (0024173887) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528515533

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSARAH FORMICACredential: PMHNP-BC

Location Address2808 FOX CHASE LNMidlothian, VA 23112-4008

Mailing Address2808 Fox Chase LnMidlothian, VA 23112-4008 · (804) 303-9622

Phone(804) 303-9622

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 7, 2016

Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2023

✔ NPI 1528515533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024173887

2808 FOX CHASE LN, Midlothian, VA 23112

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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

Sarah Formica Pmhnp-bc 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 ID8224311733

PECOS Enrollment IDI20170208000103

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

122 services35 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

101 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23112 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 10

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

JONATHAN FIELDER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)