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SANDRA HOOPS CNM
NPI 1013946607
Advanced Practice Midwife in Hummelstown, PA

Active since July 03, 2006PECOS Enrolled
82.54/100
CMS Quality Rating
8105 ADAMS DR STE B, HUMMELSTOWN, PA 17036(717) 482-8115(717) 482-8364 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2022, Nov 12, 2021 (2 updates tracked since 2021).

About Sandra Hoops Cnm NPPES

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

SANDRA HOOPS CNM (NPI 1013946607) is an individual advanced practice midwife in Hummelstown, Pennsylvania, licensed in Pennsylvania (MW008451L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013946607
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameSANDRA HOOPSCredential: CNM
Location Address8105 ADAMS DR STE BHummelstown, PA 17036-8625
Mailing Address8105 Adams Dr Ste BHummelstown, PA 17036-8625 · (717) 482-8115 · Fax (717) 482-8364
Phone(717) 482-8115
Fax(717) 482-8364
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2022
✔ NPI 1013946607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in PA · MW008451L
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License MW008451L (PA)
8105 ADAMS DR STE B, Hummelstown, PA 17036
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Hoops Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Hoops reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pinnacle Health Medical Services
Same address
Obstetrics & Gynecology
8105 ADAMS DR STE B
Hummelstown, PA 17036
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1487316436 (717) 482-8115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17036 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 7

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

RACHEL CARMELA MARRERO CRNP
Nurse Practitioner
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
JANE BESHORE HAYDEN CNM
Advanced Practice Midwife
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
WOODWARD & ASSOCIATES, P.C.
Obstetrics & Gynecology
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
O'HARA KAY HALEY MD
Obstetrics & Gynecology
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
STEPHEN L. SEGRAVE-DALY MD
Obstetrics & Gynecology
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
PINNACLE HEALTH MEDICAL SERVICES
Obstetrics & Gynecology
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115
NICOLE ELIZABETH DUFFY PA-C
Physician Assistant (Medical)
8105 ADAMS DR STE B
HUMMELSTOWN, PA 17036
Dauphin County (717) 482-8115

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 Sandra Hoops's NPI number?

The NPI number for Sandra Hoops is 1013946607. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Sandra Hoops located?

Sandra Hoops practices at 8105 Adams Dr Ste B, Hummelstown, PA 17036. The listed phone number is (717) 482-8115.

What is Sandra Hoops's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Sandra Hoops enrolled in Medicare?

Yes. Sandra Hoops is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Hoops's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Hoops reassigns Medicare benefits to Pinnacle Health Medical Services (Hummelstown, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Hoops's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Hoops was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.