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SORAYA ST. LOUIS-AUGUSTIN
NPI 1720664329
Nurse Practitioner in Sparta, NJ

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
82.01/100
CMS Quality Rating
22 ANDOVER RD, SPARTA, NJ 07871(862) 219-3218 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Mar 16, 2026, Apr 21, 2021 and 1 more (4 updates tracked since 2021).

About Soraya St. Louis-augustin NPPES

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

SORAYA ST. LOUIS-AUGUSTIN (NPI 1720664329) is an individual nurse practitioner in Sparta, New Jersey, licensed in New Jersey (26NJ01137700) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720664329
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSORAYA ST. LOUIS-AUGUSTIN
Location Address22 ANDOVER RDSparta, NJ 07871-1002
Mailing Address22 Andover RdSparta, NJ 07871-1002 · (862) 219-3218
Phone(862) 219-3218
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 23, 2021
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1720664329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ01137700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26 (NJ), 26NR11741400 (NJ)
22 ANDOVER RD, Sparta, NJ 07871
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1525 Route 73 N Ste 117Marlton, NJ 08053-3422 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 2830 Morris Tpke Fl 4Short Hills, NJ 07078-2625 · Phone (888) 803-3370 · Fax (888) 803-3331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Soraya St. Louis-augustin 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 ID2163831462
PECOS Enrollment IDI20210517000491
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.

Medicare Billing Reassignments

9

Medicare enrollment records show Soraya St. Louis-augustin reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Associates LLC
3.1 mi
Internal Medicine
123 NEWTON SPARTA RD
Newton, NJ 07860
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
NPI 1043257991 (973) 579-6300
Visavis Health Care Medical Group Of Nj LLC
31 mi
Family Medicine
12-15 SADDLE RIVER RD
Fair Lawn, NJ 07410
  • Reassigned Medicare billing, New Jersey enrollment
  • 48 clinicians in this Medicare group
NPI 1881336428 (212) 734-6621
Py Medical Services Of Nj LLC
32 mi
Multi-Specialty
65 JAY ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 63 clinicians in this Medicare group
NPI 1942912381 (718) 709-0940
Ennoble Hc Nj PC
34 mi
Geriatric Medicine
2 UNIVERSITY PLZ
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 115 clinicians in this Medicare group
NPI 1306500764 (973) 435-9463
Ennoble Hc Nj II PC
34 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1871475806 (551) 295-8223
Ennoble Hc Nj III PC
34 mi
Geriatric Medicine
2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 90 clinicians in this Medicare group
NPI 1043192099 (551) 295-8223
Personal Np Services, LLC
72 mi
Nurse Practitioner
456 CHESTNUT ST STE 102
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 101 clinicians in this Medicare group
NPI 1649658105 (732) 282-7200
Healthdrive Medical Services Southeast LLC
171 mi
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, New Jersey enrollment
  • 41 clinicians in this Medicare group
NPI 1437930146 (888) 964-6681
Hdc Care Solutions, LLC
186 mi
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, New Jersey enrollment
  • 51 clinicians in this Medicare group
NPI 1033861349 (888) 964-6681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,156 services85 patients
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.
443 services352 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.
386 services329 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
101 services101 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.
93 services93 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
72 services72 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

82.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.02
Promoting Interoperability85
Improvement Activities40

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 Soraya St. Louis-augustin's NPI number?

The NPI number for Soraya St. Louis-augustin is 1720664329. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Soraya St. Louis-augustin located?

Soraya St. Louis-augustin practices at 22 Andover Rd, Sparta, NJ 07871. The listed phone number is (862) 219-3218.

What is Soraya St. Louis-augustin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Soraya St. Louis-augustin enrolled in Medicare?

Yes. Soraya St. Louis-augustin 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 Soraya St. Louis-augustin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soraya St. Louis-augustin reassigns Medicare benefits to 9 organizations: Premier Health Associates LLC (Newton, NJ), Visavis Health Care Medical Group Of Nj LLC (Fair Lawn, NJ), Py Medical Services Of Nj LLC (Newark, NJ), Ennoble Hc Nj PC (Hackensack, NJ), Ennoble Hc Nj II PC (Hackensack, NJ) and 4 more organizations, listed in the Medicare section above. 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 Soraya St. Louis-augustin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soraya St. Louis-augustin accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Soraya St. Louis-augustin 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 Soraya St. Louis-augustin affiliated with any hospitals?

According to CMS data, Soraya St. Louis-augustin is affiliated with Morristown Medical Center and Newton Medical Center.

When was this NPI record last updated?

The NPPES record for Soraya St. Louis-augustin was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.