APRIL SUTTON NP
NPI 1790324473
Nurse Practitioner - Psychiatric/Mental Health in Dansville, NY

Active since December 30, 2019PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
9221 ROBERT HART DR, DANSVILLE, NY 14437(585) 335-4316(585) 335-3577 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 3, 2023, Dec 30, 2019 (2 updates tracked since 2019).

About April Sutton Np NPPES

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

APRIL SUTTON NP (NPI 1790324473) is an individual psychiatric/mental health provider in Dansville, New York, licensed in New York (402890) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790324473
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAPRIL SUTTONCredential: NP
Location Address9221 ROBERT HART DRDansville, NY 14437-8931
Mailing Address111 Clara Barton StDansville, NY 14437-9503 · (585) 335-6001 · Fax (585) 335-9728
Fax(585) 335-3577
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 30, 2019
Last NPPES UpdateJuly 3, 20232 updates tracked since enumeration
NPPES CertifiedDecember 30, 2019
NPI 1790324473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 402890
9221 ROBERT HART DR, Dansville, NY 14437

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

April Sutton Np 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 ID7214364702
PECOS Enrollment IDI20200221002294
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Highland Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330164
Location1000 South AvenueRochester, NY 14617 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14437 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

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.

Social Worker (Clinical)
9221 ROBERT HART DR
DANSVILLE, NY 14437
Counselor (Mental Health)
9221 ROBERT HART DR
DANSVILLE, NY 14437
Counselor (Mental Health)
9221 ROBERT HART DR
DANSVILLE, NY 14437
Social Worker
9221 ROBERT HART DR
DANSVILLE, NY 14437
Counselor (Mental Health)
9221 ROBERT HART DR
DANSVILLE, NY 14437
Art Therapist
9221 ROBERT HART DR
DANSVILLE, NY 14437
Counselor (Mental Health)
9221 ROBERT HART DR
DANSVILLE, NY 14437
Counselor (Mental Health)
9221 ROBERT HART DR
DANSVILLE, NY 14437

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 April Sutton's NPI number?

The NPI number for April Sutton is 1790324473. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Where is April Sutton located?

April Sutton practices at 9221 Robert Hart Dr, Dansville, NY 14437. The listed phone number is (585) 335-4316.

What is April Sutton's specialty?

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

Is April Sutton enrolled in Medicare?

Yes. April Sutton 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.

Is April Sutton affiliated with any hospitals?

According to CMS data, April Sutton is affiliated with Highland Hospital.

When was this NPI record last updated?

The NPPES record for April Sutton was last updated on July 3, 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.