SONJIA MCVAY APRN
NPI 1720786189
Nurse Practitioner - Psychiatric/Mental Health in Hammond, LA

Active since February 15, 2023PECOS EnrolledAccepts Medicare Assignment
45388 BRITT LN, HAMMOND, LA 70401(985) 507-8191 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sonjia Mcvay Aprn NPPES

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

SONJIA MCVAY APRN (NPI 1720786189) is an individual psychiatric/mental health provider in Hammond, Louisiana, licensed in Louisiana (004844711) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720786189
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSONJIA MCVAYCredential: APRN
Location Address45388 BRITT LNHammond, LA 70401-4409
Mailing AddressPo Box 378Albany, LA 70711-0378 · (985) 507-8191
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 15, 2023
Last NPPES UpdateSeptember 11, 2023
NPPES CertifiedSeptember 11, 2023
✔ NPI 1720786189 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 LA · 004844711
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 087718 (LA)
45388 BRITT LN, Hammond, LA 70401

Accepted 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

Sonjia Mcvay Aprn 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 ID5991168692
PECOS Enrollment IDI20230829001130
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

2

Medicare enrollment records show Sonjia Mcvay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
19100 DR JOHN LAMBERT DR
Hammond, LA 70403
  • Reassigned Medicare billing, Louisiana enrollment
  • 3 clinicians in this Medicare group
Psychiatric/Mental Health
201 GREENBRIER BLVD
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment

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

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 hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70401 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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 Sonjia Mcvay's NPI number?

The NPI number for Sonjia Mcvay is 1720786189. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Where is Sonjia Mcvay located?

Sonjia Mcvay practices at 45388 Britt Ln, Hammond, LA 70401. The listed phone number is (985) 507-8191.

What is Sonjia Mcvay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sonjia Mcvay enrolled in Medicare?

Yes. Sonjia Mcvay 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 Sonjia Mcvay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonjia Mcvay reassigns Medicare benefits to 2 organizations: Diabetes Care Solution, LLC (Hammond, LA) and Quality Control Solutions (Covington, LA). 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 Sonjia Mcvay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonjia Mcvay accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Sonjia Mcvay 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.

When was this NPI record last updated?

The NPPES record for Sonjia Mcvay was last updated on September 11, 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.