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SOPHIA C SABIO-GESMUNDO CRNP
NPI 1710446620
Nurse Practitioner - Family in West Grove, PA

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment
455 WOODVIEW RD STE 100, WEST GROVE, PA 19390(610) 345-1900(610) 345-1901 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2019, Nov 5, 2019, Mar 19, 2019 (3 updates tracked since 2019).

About Sophia C Sabio-gesmundo Crnp NPPES

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

SOPHIA C SABIO-GESMUNDO CRNP (NPI 1710446620) is an individual family provider in West Grove, Pennsylvania, licensed in Pennsylvania (SP020156) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710446620
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSOPHIA C SABIO-GESMUNDOCredential: CRNP
Location Address455 WOODVIEW RD STE 100West Grove, PA 19390-9314
Mailing Address455 Woodview Rd Ste 100West Grove, PA 19390-9314 · (610) 345-1900 · Fax (610) 345-1901
Phone(610) 345-1900
Fax(610) 345-1901
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 19, 2019
Last NPPES UpdateDecember 2, 20193 updates tracked since enumeration
✔ NPI 1710446620 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
Licenses✔ Licensed in PA · SP020156✔ Licensed in PA · NPPA038583
455 WOODVIEW RD STE 100, West Grove, PA 19390
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Sophia C Sabio-gesmundo Crnp 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 ID3971836750
PECOS Enrollment IDI20190611000048
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 10

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.
423 services219 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
115 services92 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
76 services76 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
67 services67 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19390 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims29 services$6.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MICHAEL D KIRK MD
Family Medicine
455 WOODVIEW RD STE 100
WEST GROVE, PA 19390
Chester County (610) 345-1900
JOHN N DAGHIR MD
Family Medicine
455 WOODVIEW RD STE 100
WEST GROVE, PA 19390
Chester County (610) 345-1900
STEPHEN NAYLOR DO
Family Medicine
455 WOODVIEW RD STE 100
WEST GROVE, PA 19390
Chester County (610) 345-1900

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 Sophia Sabio-gesmundo's NPI number?

The NPI number for Sophia Sabio-gesmundo is 1710446620. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Sophia Sabio-gesmundo located?

Sophia Sabio-gesmundo practices at 455 Woodview Rd Ste 100, West Grove, PA 19390. The listed phone number is (610) 345-1900.

What is Sophia Sabio-gesmundo's specialty?

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

Is Sophia Sabio-gesmundo enrolled in Medicare?

Yes. Sophia Sabio-gesmundo 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.

What insurance does Sophia Sabio-gesmundo accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Sophia Sabio-gesmundo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sophia Sabio-gesmundo affiliated with any hospitals?

According to CMS data, Sophia Sabio-gesmundo is affiliated with Hospital Of Univ Of Pennsylvania and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Sophia Sabio-gesmundo was last updated on December 2, 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.