Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nicole A Sandberg, MSN-PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1639546336

Nicole A Sandberg, MSN-PMHNP is a Nurse Practitioner in Stony Brook, New York. Qualified in 2015, 11 years ago. Practices with Stony Brook Psychiatric Associates University Faculty Practice Corpor, a 101-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 638-1575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 401946 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 660968 (NY)

Record details

NPI number1639546336
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-PMHNP
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stony Brook Psychiatric Associates University Faculty Practice Corpor — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 19 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Stony Brook Psychiatric Associates University Faculty Practice Corpor

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 101 clinicians in the practice; 12 are shown here.

Other providers in Stony Brook