1. Home
  2. Directory
  3. Texas
  4. Burleson
  5. Nurse Practitioner
  6. NPI Profile

AMY SANDERS
NPI 1093194789
Nurse Practitioner in Burleson, TX

Active since May 27, 2015PECOS Enrolled
621 SW JOHNSON AVE STE C, BURLESON, TX 76028(817) 766-7421 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amy Sanders NPPES

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

AMY SANDERS (NPI 1093194789) is an individual nurse practitioner in Burleson, Texas, licensed in Texas (AP138459) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salem.

NPPES Registry Identity

NPI1093194789
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY SANDERS
Location Address621 SW JOHNSON AVE STE CBurleson, TX 76028
Mailing Address2 Keewaydin DrSalem, NH 03079-2839 · (800) 995-2673 · Fax (888) 979-6551
Phone(817) 766-7421
Sole ProprietorYes
Enumeration DateMay 27, 2015
Last NPPES UpdateJanuary 11, 2019
✔ NPI 1093194789 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 TX · AP138459
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.
621 SW JOHNSON AVE STE C, Burleson, TX 76028
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Keewaydin DrSalem, NH 03079-2839 · Phone (800) 995-2673 · Fax (888) 979-6551

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Sanders 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 Reassignments

2

Medicare enrollment records show Amy Sanders reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prestige Dermatology PLLC
0.4 mi
Dermatology
264 EXCHANGE ST
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1962878843 (817) 766-7421
Prestige Dermatology Of Alliance, PLLC
23 mi
Dermatology
3629 WESTERN CENTER BLVD, SUITE 201
Fort Worth, TX 76137
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1427415314 (817) 766-7421

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 76028 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 4

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

STACEY LOPEZ PA-C
Physician Assistant
621 SW JOHNSON AVE STE C
BURLESON, TX 76028
Johnson County (817) 766-7421
TEENA PHAM
Physician Assistant
621 SW JOHNSON AVE STE C
BURLESON, TX 76028
Johnson County (817) 766-7421
HONG DO FNP-BC
Nurse Practitioner
621 SW JOHNSON AVE STE C
BURLESON, TX 76028
Johnson County (817) 766-7421
IPS BURLESON
Psychiatric Hospital
621 SW JOHNSON AVE STE C
BURLESON, TX 76028
Johnson County (817) 447-3001

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 Amy Sanders's NPI number?

The NPI number for Amy Sanders is 1093194789. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Amy Sanders located?

Amy Sanders practices at 621 SW Johnson Ave Ste C, Burleson, TX 76028. The listed phone number is (817) 766-7421.

What is Amy Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Sanders enrolled in Medicare?

Yes. Amy Sanders is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Sanders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Sanders reassigns Medicare benefits to 2 organizations: Prestige Dermatology PLLC (Burleson, TX) and Prestige Dermatology Of Alliance, PLLC (Fort Worth, TX). Each 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 Amy Sanders'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 Amy Sanders was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.