ANDREW SADOUSKY MS, FNP-C
NPI 1063893378
Nurse Practitioner - Family in Southlake, TX

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
250 MIRON DR, SOUTHLAKE, TX 76092(817) 328-3000 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Sadousky Ms, Fnp-c NPPES

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

ANDREW SADOUSKY MS, FNP-C (NPI 1063893378) is an individual family provider in Southlake, Texas, licensed in Texas (AP127302) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063893378
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANDREW SADOUSKYCredential: MS, FNP-C
Location Address250 MIRON DRSouthlake, TX 76092-7852
Mailing Address2630 Villa Di Lago, Unit 3Grand Prairie, TX 75054-6622
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 11, 2015
Last NPPES UpdateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1063893378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP127302
250 MIRON DR, Southlake, TX 76092

Accepted 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

Andrew Sadousky Ms, Fnp-c 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 ID1759822406
PECOS Enrollment IDI20240920002177
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 3

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.

Dressing change under anesthesia 15852
"Dressing change under anesthesia" is a procedure where a healthcare provider changes a wound dressing while the patient is under anesthesia. This is usually done for deep or painful wounds. The anesthesia helps to manage pain and discomfort during the procedure.
61 services18 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
49 services15 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
24 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Gerontology)
250 MIRON DR
SOUTHLAKE, TX 76092
Nurse Practitioner (Family)
250 MIRON DR
SOUTHLAKE, TX 76092
Nurse Practitioner (Family)
250 MIRON DR
SOUTHLAKE, TX 76092

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 Andrew Sadousky's NPI number?

The NPI number for Andrew Sadousky is 1063893378. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Andrew Sadousky located?

Andrew Sadousky practices at 250 Miron Dr, Southlake, TX 76092. The listed phone number is (817) 328-3000.

What is Andrew Sadousky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrew Sadousky enrolled in Medicare?

Yes. Andrew Sadousky 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 Andrew Sadousky accept?

Health plans from Blue Cross and Blue Shield of Texas list Andrew Sadousky 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.

When was this NPI record last updated?

The NPPES record for Andrew Sadousky was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.