BRENDA SPORN FNP
NPI 1639485022
Nurse Practitioner - Family in Richmond Hill, NY
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
Specialties & Licenses 2
Secondary Practice Locations 4
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Brenda Sporn reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woodmere, NY 11598
- Reassigned Medicare billing, New York enrollment
- 21 clinicians in this Medicare group
Far Rockaway, NY 11691
- Reassigned Medicare billing, New York enrollment
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Lakewood, NJ 08701
- Reassigned Medicare billing, New York enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Brenda Sporn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Sporn reassigns Medicare benefits to 4 organizations: Sheryl A Pearl MD PC (Woodmere, NY), West Lawrence Np Family Health PLLC (Far Rockaway, NY), Advantagecare Physicians PC (New York, NY) and Behavioral Health Physician PLLC (Lakewood, NJ). 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 Brenda Sporn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Brenda Sporn, FNP · NPI 1639485022
Family physician in Richmond Hill, New York. Individual provider, active in the CMS NPPES registry since August 24, 2010.
## Identity
- **NPI:** 1639485022 (Entity type: Individual)
- **Enumerated:** August 24, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 339449 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 125-06 101ST AVE, Richmond Hill, NY 11419
- **Phone:** (718) 849-2900 · **Fax:** (718) 559-5468
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sheryl A Pearl MD PC (NPI 1003983321, Woodmere, NY); West Lawrence Np Family Health PLLC (NPI 1881311900, Far Rockaway, NY); Advantagecare Physicians PC (NPI 1336578772, New York, NY); Behavioral Health Physician PLLC (NPI 1194697201, Lakewood, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 30, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1639485022) · Data from the CMS NPPES public registry.