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DOUGLAS SANDE ACNP-BC
NPI 1033559380
Nurse Practitioner - Acute Care in Miami, FL

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment
88.53/100
CMS Quality Rating
6161 BLUE LAGOON DR, 170, MIAMI, FL 33126(786) 388-1400(786) 388-1401 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Sande Acnp-bc NPPES

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

DOUGLAS SANDE ACNP-BC (NPI 1033559380) is an individual acute care provider in Miami, Florida, licensed in Florida (ARNP9213009) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1033559380
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameDOUGLAS SANDECredential: ACNP-BC
Location Address6161 BLUE LAGOON DR, 170Miami, FL 33126-2057
Mailing Address5200 Ne 2nd AveMiami, FL 33137-2706 · (305) 751-8626
Phone(786) 388-1400
Fax(786) 388-1401
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 1, 2013
Last NPPES UpdateAugust 17, 2017
✔ NPI 1033559380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP9213009
6161 BLUE LAGOON DR, Miami, FL 33126
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

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

Douglas Sande Acnp-bc 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 ID2668571985
PECOS Enrollment IDI20140213001537
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 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
579 services237 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
421 services167 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
165 services159 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
36 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
36 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

88.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.42
Improvement Activities40
Cost62.49

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%87 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

RENATO DE LA FLOR
Nurse Practitioner (Family)
6161 BLUE LAGOON DR
MIAMI, FL 33126
Miami-Dade County (786) 388-1400
YUL MARIETTA LOPEZ FNP
Nurse Practitioner (Family)
6161 BLUE LAGOON DR
MIAMI, FL 33126
Miami-Dade County (786) 273-8466
MARCOS CASTELLANOS MSN, NP-BC, FNP-BC
Nurse Practitioner (Family)
6161 BLUE LAGOON DR, SUITE 170
MIAMI, FL 33126
Miami-Dade County (786) 388-1400
VALERIA CAROLINA GONZALEZ M.A., CF-SLP
Speech-Language Pathologist
6161 BLUE LAGOON DR
MIAMI, FL 33126
Miami-Dade County (866) 919-3240

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 Douglas Sande's NPI number?

The NPI number for Douglas Sande is 1033559380. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Douglas Sande located?

Douglas Sande practices at 6161 Blue Lagoon Dr 170, Miami, FL 33126. The listed phone number is (786) 388-1400.

What is Douglas Sande's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Douglas Sande enrolled in Medicare?

Yes. Douglas Sande 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.

What insurance does Douglas Sande accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Douglas Sande as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Douglas Sande affiliated with any hospitals?

According to CMS data, Douglas Sande is affiliated with Mount Sinai Medical Center Of Florida, Inc.

When was this NPI record last updated?

The NPPES record for Douglas Sande was last updated on August 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.