1. Home
  2. Directory
  3. New York
  4. Richmond Hill
  5. Nurse Practitioner
  6. NPI Profile

BRENDA SPORN FNP
NPI 1639485022
Nurse Practitioner - Family in Richmond Hill, NY

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment
125-06 101ST AVE, RICHMOND HILL, NY 11419(718) 849-2900(718) 559-5468 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2019, Nov 9, 2017 (2 updates tracked since 2017).

About Brenda Sporn Fnp NPPES

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

BRENDA SPORN FNP (NPI 1639485022) is an individual family provider in Richmond Hill, New York, licensed in New York (339449) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639485022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENDA SPORNCredential: FNP
Location Address125-06 101ST AVERichmond Hill, NY 11419
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(718) 849-2900
Fax(718) 559-5468
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 24, 2010
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1639485022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339449
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 584123-1 (NY)
125-06 101ST AVE, Richmond Hill, NY 11419
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1509 Jarvis AveFar Rockaway, NY 11691 · Phone (718) 471-7247
Location 2260 W. Sunrise Hwy, Ste. 200Valley Stream, NY 11581-1015 · Phone (516) 825-3600 · Fax (516) 872-5137
Location 396-10 Metropolitan AveForest Hills, NY 11375-6625 · Phone (718) 459-0400 · Fax (718) 670-6479
Location 486-15 Queens BlvdElmhurst, NY 11373-4427 · Phone (718) 899-6600 · Fax (718) 606-3881

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

Brenda Sporn 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 ID7911206891
PECOS Enrollment IDI20160427000916
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11419 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 3

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

BO BO WIN MAUNG MD
Internal Medicine
125-06 101ST AVE
RICHMOND HILL, NY 11419
Queens County (718) 849-2900
IRINA MULLOKANDOVA D.O.
Family Medicine
125-06 101ST AVE
RICHMOND HILL, NY 11419
Queens County (718) 849-2900
DR. TONIANN MARIE STONE D.O.
Family Medicine
125-06 101ST AVE
RICHMOND HILL, NY 11419
Queens County (718) 849-2900

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 Brenda Sporn's NPI number?

The NPI number for Brenda Sporn is 1639485022. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Brenda Sporn located?

Brenda Sporn practices at 125-06 101st Ave, Richmond Hill, NY 11419. The listed phone number is (718) 849-2900.

What is Brenda Sporn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenda Sporn enrolled in Medicare?

Yes. Brenda Sporn 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.

When was this NPI record last updated?

The NPPES record for Brenda Sporn was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.