SONJA PAULEY – Psychiatric/Mental Health Nurse Practitioner, NPI 1912583949

SONJA PAULEY is a healthcare provider. based in Sidney, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. RN.311874 (OH). The NPI Number for SONJA PAULEY is 1912583949

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
SONJA PAULEY
NPI
1912583949
Phone
Not provided
Address
21151 TAWAWA ST
Enumeration Date
21 March 2021
Last Update Date
1 July 2021

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3305363746
Graduation Year
2021 (5 years ago)
PAC ID
0941602023
Group Practice PAC ID
1456669605
Professional Enrollment ID
I20210712003934
Address ID
OH442565344ME3567XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SONJA PAULEY

  • 21151 TAWAWA ST

    SIDNEY, OH 453656713

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-04-19 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($130).

Total Amount

$362

General + Research + Ownership

Payments

8

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210712003934INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,961460$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes693312$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes30165$0
90792Psychiatric diagnostic evaluation with medical services144144$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7940$0
View full utilization report →

Insurance plans in this area (ZIP 45365)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456669605View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerWV
Nurse PractitionerKY
Nurse PractitionerOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Does SONJA PAULEY have a public NPI I can cite?
Public records show SONJA PAULEY under NPI 1912583949.
Should I treat SONJA PAULEY as an active provider?
Patients and plans typically see SONJA PAULEY as active in the national extract.
What does the directory say SONJA PAULEY does?
Insurance directories may phrase it differently, but here SONJA PAULEY maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SONJA PAULEY?
SONJA PAULEY is associated with Sidney, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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