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SANDRA BIELANSKI CNP
NPI 1104155571
Nurse Practitioner - Adult Health in Jacksonville, FL

Active since December 15, 2009PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
8227 KENSINGTON SQ, JACKSONVILLE, FL 32217(440) 376-6570 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2022, Apr 22, 2022 (2 updates tracked since 2022).

About Sandra Bielanski Cnp NPPES

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

SANDRA BIELANSKI CNP (NPI 1104155571) is an individual adult health provider in Jacksonville, Florida, licensed in Florida (APRN11026320) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1104155571
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSANDRA BIELANSKICredential: CNP
Location Address8227 KENSINGTON SQJacksonville, FL 32217-4401
Mailing Address8227 Kensington SqJacksonville, FL 32217-4401 · (440) 376-6570
Phone(440) 376-6570
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 15, 2009
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1104155571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in FL · APRN11026320✔ Licensed in OH · 10889
8227 KENSINGTON SQ, Jacksonville, FL 32217
Open in Google Maps ↗

Other Identifiers 1

Medicaid3091907OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Bielanski Cnp 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 ID6901098854
PECOS Enrollment IDI20231003001864
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

3

Medicare enrollment records show Sandra Bielanski reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc
8.6 mi
Neurological Surgery
580 W 8TH ST, UFJP NEUROSURGERY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1225298599 (904) 244-3660
Americare Kidney Institute LLC
775 mi
Nephrology
805 COLUMBIA RD STE 101
Westlake, OH 44145
  • Reassigned Medicare billing, Ohio enrollment
  • 32 clinicians in this Medicare group
NPI 1013349471 (216) 228-5500
Villagehealth Dm LLC
1,475 mi
Case Management
2000 16TH ST
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1598273211 (303) 405-2100

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
49 services24 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32217 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

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 Bielanski's NPI number?

The NPI number for Sandra Bielanski is 1104155571. It was assigned to this individual provider in the NPPES registry on December 15, 2009.

Where is Sandra Bielanski located?

Sandra Bielanski practices at 8227 Kensington Sq, Jacksonville, FL 32217. The listed phone number is (440) 376-6570.

What is Sandra Bielanski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandra Bielanski enrolled in Medicare?

Yes. Sandra Bielanski 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.

Which organizations bill Medicare for Sandra Bielanski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Bielanski reassigns Medicare benefits to 3 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), Americare Kidney Institute LLC (Westlake, OH) and Villagehealth Dm LLC (Denver, CO). 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 Sandra Bielanski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Bielanski accept?

Health plans from Ambetter Health, Ambetter of Alabama and CareSource list Sandra Bielanski 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 Sandra Bielanski affiliated with any hospitals?

According to CMS data, Sandra Bielanski is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Sandra Bielanski was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.