NICOLE A SANDBERG MSN-PMHNP
NPI 1639546336
Nurse Practitioner - Psychiatric/Mental Health in Stony Brook, NY

Q: What is Nicole Sandberg's NPI number?

The NPI number for Nicole Sandberg is 1639546336. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Q: What is Nicole Sandberg'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 Nicole Sandberg was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment

101 NICOLLS RD, STONY BROOK, NY 11794(631) 638-1575 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole A Sandberg Msn-pmhnp NPPES

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

NICOLE A SANDBERG MSN-PMHNP (NPI 1639546336) is an individual psychiatric/mental health provider in Stony Brook, New York, licensed in New York (401946) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1639546336

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE A SANDBERGCredential: MSN-PMHNP

Location Address101 NICOLLS RDStony Brook, NY 11794-0001

Mailing Address101 Nicolls RdStony Brook, NY 11794-0001 · (631) 638-1575

Phone(631) 638-1575

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 28, 2015

Last NPPES UpdateMay 24, 2023

NPPES CertifiedMay 24, 2023

✔ NPI 1639546336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in NY · 401946

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 660968 (NY)

101 NICOLLS RD, Stony Brook, NY 11794

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Nicole A Sandberg Msn-pmhnp 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 ID547567661

PECOS Enrollment IDI20160404001846

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

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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.

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.

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