SONIA BINU SEBASTIAN CRNP
NPI 1992376594
Nurse Practitioner - Family in Lancaster, PA

Active since July 05, 2021PECOS EnrolledAccepts Medicare Assignment
540 N DUKE ST STE 244, LANCASTER, PA 17602(717) 826-9781 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sonia Binu Sebastian Crnp NPPES

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

SONIA BINU SEBASTIAN CRNP (NPI 1992376594) is an individual family provider in Lancaster, Pennsylvania, licensed in Pennsylvania (SP023948) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992376594
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONIA BINU SEBASTIANCredential: CRNP
Location Address540 N DUKE ST STE 244Lancaster, PA 17602-2374
Mailing Address540 N Duke St Ste 244Lancaster, PA 17602-2374 · (717) 826-9781
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 5, 2021
NPPES CertifiedJune 24, 2021
NPI 1992376594 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
License Licensed in PA · SP023948
540 N DUKE ST STE 244, Lancaster, PA 17602

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

Sonia Binu Sebastian 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 ID2062800683
PECOS Enrollment IDI20211101000014
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.

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.
428 services302 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
113 services113 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers32 claims33 services$38.57 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers18 claims18 services$93.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers22 claims46 services$35.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers28 claims114 services$20.16 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers19 claims73 services$14.48 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers40 claims40 services$58.65 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
540 N DUKE ST STE 244
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST STE 244
LANCASTER, PA 17602
Nurse Practitioner (Critical Care Medicine)
540 N DUKE ST STE 244
LANCASTER, PA 17602
Nurse Practitioner (Acute Care)
540 N DUKE ST STE 244
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST STE 244
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST STE 244
LANCASTER, PA 17602

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 Sonia Sebastian's NPI number?

The NPI number for Sonia Sebastian is 1992376594. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Sonia Sebastian located?

Sonia Sebastian practices at 540 N Duke St Ste 244, Lancaster, PA 17602. The listed phone number is (717) 826-9781.

What is Sonia Sebastian's specialty?

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

Is Sonia Sebastian enrolled in Medicare?

Yes. Sonia Sebastian 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 Sonia Sebastian affiliated with any hospitals?

According to CMS data, Sonia Sebastian is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Sonia Sebastian was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.