MRS. MARY SUSAN SANDER C.N.P.
NPI 1073503322
Nurse Practitioner in Canton, OH

Active since October 27, 2005PECOS Enrolled
90.27/100
CMS Quality Rating
2726 FULTON DR NW, CANTON, OH 44718(330) 455-5011(330) 588-7127 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Mary Susan Sander C.n.p. NPPES

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

MRS. MARY SUSAN SANDER C.N.P. (NPI 1073503322) is an individual nurse practitioner in Canton, Ohio, licensed in Ohio (NP-05340) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073503322
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY SUSAN SANDERCredential: C.N.P.
Location Address2726 FULTON DR NWCanton, OH 44718-3506
Mailing Address2726 Fulton Dr NwCanton, OH 44718-3506 · (330) 455-5011 · Fax (330) 588-7127
Fax(330) 588-7127
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateMay 12, 2020
NPPES CertifiedMay 12, 2020
NPI 1073503322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · NP-05340
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2726 FULTON DR NW, Canton, OH 44718

Other Names 1

Former Name (1)Ms. Mary Susan Telloni C.n.p.

Other Identifiers 5

Other000000492313OH · Anthem
Medicaid2179664OH
OtherP00341076OH · Medicare Railroad
Other1073503322OH · Hometown
Other341773267GOH · Aultcare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mary Susan Sander C.n.p. 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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
201 services201 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services163 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services65 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44718 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.9
Promoting Interoperability100
Improvement Activities40
Cost77.69

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
99%413 patients4/55-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 15

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

Internal Medicine (Gastroenterology)
2726 FULTON DR NW
CANTON, OH 44718
Clinic/Center (Ambulatory Surgical)
2726 FULTON DR NW
CANTON, OH 44718
Internal Medicine (Gastroenterology)
2726 FULTON DR NW
CANTON, OH 44718
Nurse Practitioner (Family)
2726 FULTON DR NW
CANTON, OH 44718
Internal Medicine (Gastroenterology)
2726 FULTON DR NW
CANTON, OH 44718
Nurse Practitioner (Family)
2726 FULTON DR NW
CANTON, OH 44718
Internal Medicine (Gastroenterology)
2726 FULTON DR NW
CANTON, OH 44718
Internal Medicine (Gastroenterology)
2726 FULTON DR NW
CANTON, OH 44718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073503322, enumerated as an "individual" on October 27, 2005.

The provider is located at 2726 FULTON DR NW CANTON, OH 44718 and the phone number is (330) 455-5011.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Anthem Blue Cross, Medicare, Medicaid and Railroad. Please consult your insurance carrier or call the provider to verify.