SABRINA ANN SEPULVEDA CRNP-PMH
NPI 1912284068
Nurse Practitioner - Psychiatric/Mental Health in Leonardtown, MD
NPI Status: Active since November 03, 2011
Contact Information
41625 PARK AVE
LEONARDTOWN, MD
ZIP 20650
Phone: (301) 494-1009
Fax: (970) 296-5636
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
- Opted-Out Medicare
About SABRINA SEPULVEDA
This page provides the complete NPI Profile along with additional information for Sabrina Sepulveda, a provider established in Leonardtown, Maryland with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1912284068 assigned on November 2011. The practitioner's primary taxonomy code is 363LP0808X with license number R159759 (MD). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1912284068
- Provider Name
- SABRINA ANN SEPULVEDA CRNP-PMH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 41625 PARK AVE LEONARDTOWN, MD 20650
- Location Phone
- (301) 494-1009
- Location Fax
- (970) 296-5636
- Mailing Address
- PO BOX 452 VALLEY LEE, MD 20692
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-03-2011
- Last Update Date
- 10-14-2022
- Code Navigator
A nurse practitioner (NP) like Sabrina Sepulveda is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Sabrina Sepulveda opted out of Medicare effective on 07-01-2023 until 07-01-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R159759
- License State
- MD
Medicare Participation & PECOS Enrollment Status
Sabrina Sepulveda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2023
Opt-Out End Date: 07-01-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
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.
This service was performed 149 times for 35 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20650 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.11
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $25.52
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 9 | 1 | 2 | 2 | 8 | 4 | 0 | 6 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 2 | 2 | 4 | 8 | 8 | 0 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 9 + 2 + 2 + 4 + 8 + 8 + 0 + 1 + 2 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1912284068 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1215926894 | MS. BARBARA ANN PATERSON LCPC Individual | Counselor (Mental Health) | 41625 PARK AVE SUITE 300 LEONARDTOWN, MD 20650 (301) 997-1494 |
1114900313 | DR. CAROL ANN PARIS M.D. Individual | Psychiatry & Neurology (Neurology) | 41625 PARK AVE SUITE 300 LEONARDTOWN, MD 20650 (301) 997-1494 |
1962485979 | MS. PATRICIA JANE MURPHY LCSW-C Individual | Social Worker (Clinical) | 41625 PARK AVE SUITE 300 LEONARDTOWN, MD 20650 (301) 997-1494 |
1891766192 | CAROL A. PARIS, M.D. & ASSOCIATES, L.L.C. Organization | Psychiatry & Neurology (Psychiatry) | 41625 PARK AVE SUITE 300 LEONARDTOWN, MD 20650 (301) 997-1494 |
1972069201 | HARBORSIDE BEHAVIORAL HEALTH, LLC Organization | Nurse Practitioner (Psychiatric/Mental Health) | 41625 PARK AVE LEONARDTOWN, MD 20650 (301) 494-1009 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912284068, enumerated in the NPI registry as an "individual" on November 03, 2011
The provider is located at 41625 Park Ave Leonardtown, Md 20650 and the phone number is (301) 494-1009
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $102.11 and an average copayment of 25.52. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes.
No, the provider signed an affidavit on July 01, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2025.
This NPI record was last updated on November 03, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.