MISS DARLENE MARIA SANCHEZ FNP
NPI 1588210561
Nurse Practitioner - Family in Merrick, NY

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
389 MERRICK AVE, MERRICK, NY 11566(516) 867-5132 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Darlene Maria Sanchez Fnp NPPES

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

MISS DARLENE MARIA SANCHEZ FNP (NPI 1588210561) is an individual family provider in Merrick, New York, licensed in New York (F344518-01) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1588210561
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS DARLENE MARIA SANCHEZCredential: FNP
Location Address389 MERRICK AVEMerrick, NY 11566-2723
Mailing Address275 W 4th StWest Islip, NY 11795-1831 · (631) 806-3886
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2019
NPI 1588210561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F344518-01
389 MERRICK AVE, Merrick, NY 11566

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

Miss Darlene Maria Sanchez Fnp 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 ID8729310370
PECOS Enrollment IDI20191030003471
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
163 services135 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
157 services120 patients
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r U0003
This is a test for COVID-19. It uses high-tech methods to find the virus's genetic material in your body. The amplified probe technique helps detect the virus even in small amounts. This is crucial for early detection and effective treatment.
82 services73 patients
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within U0005
This is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
82 services73 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
38 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11566 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Family Medicine (Adult Medicine)
389 MERRICK AVE
MERRICK, NY 11566
Physical Therapist (Orthopedic)
389 MERRICK AVE
NORTH MERRICK, NY 11566
Physician Assistant (Medical)
389 MERRICK AVE
MERRICK, NY 11566
Physician Assistant
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566
Counselor (Mental Health)
389 MERRICK AVE
MERRICK, NY 11566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588210561, enumerated as an "individual" on August 14, 2019.

The provider is located at 389 MERRICK AVE MERRICK, NY 11566 and the phone number is (516) 867-5132.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.