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JESSICA MARIE SANFORD CNP
NPI 1104398833
Nurse Practitioner - Adult Health in Cincinnati, OH

Active since December 19, 2018PECOS Enrolled
85.49/100
CMS Quality Rating
11500 NORTHLAKE DR, CINCINNATI, OH 45249(513) 742-6310 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2023, Jan 24, 2022, Jan 10, 2022 and 2 more (5 updates tracked since 2018).

About Jessica Marie Sanford Cnp NPPES

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

JESSICA MARIE SANFORD CNP (NPI 1104398833) is an individual adult health provider in Cincinnati, Ohio, licensed in Indiana (71008628A) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lawrenceburg.

NPPES Registry Identity

NPI1104398833
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJESSICA MARIE SANFORDCredential: CNP
Location Address11500 NORTHLAKE DRCincinnati, OH 45249-1650
Mailing Address6557 Stonelake WayFairfield Township, OH 45011-8160 · (513) 828-1578
Phone(513) 742-6310
Sole ProprietorNo
Enumeration DateDecember 19, 2018
Last NPPES UpdateMarch 12, 20235 updates tracked since enumeration
NPPES CertifiedMarch 14, 2022
✔ NPI 1104398833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71008628A
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71008628A (IN)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License CNP.020779 (OH)
11500 NORTHLAKE DR, Cincinnati, OH 45249
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Maire Bolton

Secondary Practice Location 1

Location 136 Valley DrLawrenceburg, IN 47025-1084 · Phone (812) 537-0930

Other Identifiers 1

OtherAPRN.CNP.020779OH · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marie Sanford Cnp 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 Reassignment

Medicare enrollment records show Jessica Sanford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crossroads Hospice Of Cincinnati
2.5 mi
Hospice Care, Community Based
4380 GLENDALE MILFORD RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1285673111 (513) 793-5070

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Other Providers at the Same Location NPPES 11

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

KEVIN CORBUS PSY.D.
Psychologist (Clinical)
11500 NORTHLAKE DR
CINCINNATI, OH 45249
Hamilton County (513) 247-4680
DR. DESIREE HAYNES PSYD, MBA
Counselor
11500 NORTHLAKE DR, SUITE 230
CINCINNATI, OH 45249
Hamilton County (513) 247-4689
DR. MATTHEW JACK DELGIUDICE PSY.D.
Psychologist (Clinical)
11500 NORTHLAKE DR, SUITE 230
CINCINNATI, OH 45249
Hamilton County (513) 258-1721
DR. CHRISTIAN LANCE DAVIS PHARM.D., MHA
Pharmacist
11500 NORTHLAKE DR, SUITE 200
CINCINNATI, OH 45249
Hamilton County (513) 247-4298
RADIANT RESEARCH, INC.
Specialist (Research Study)
11500 NORTHLAKE DR, SUITE 320
CINCINNATI, OH 45249
Hamilton County (303) 480-7138
MARY ELIZABETH DAVIDSON RN
Clinical Nurse Specialist
11500 NORTHLAKE DR, SUITE 200
CINCINNATI, OH 45249
Hamilton County (513) 247-4296
MS. NANCY P CAMPBELL MSW
Social Worker (Clinical)
11500 NORTHLAKE DR, SUITE 200
CINCINNATI, OH 45249
Hamilton County (513) 247-4634
VITAS HEALTHCARE CORPORATION OF OHIO
Hospice Care, Community Based
11500 NORTHLAKE DR, SUITE 400
CINCINNATI, OH 45249
Hamilton County (513) 742-6310

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 Jessica Sanford's NPI number?

The NPI number for Jessica Sanford is 1104398833. It was assigned to this individual provider in the NPPES registry on December 19, 2018. The provider is also known as Jessica Maire Bolton.

Where is Jessica Sanford located?

Jessica Sanford practices at 11500 Northlake Dr, Cincinnati, OH 45249. The listed phone number is (513) 742-6310.

What is Jessica Sanford's specialty?

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

Is Jessica Sanford enrolled in Medicare?

Yes. Jessica Sanford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Sanford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Sanford reassigns Medicare benefits to Crossroads Hospice Of Cincinnati (Cincinnati, OH). The 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 Jessica Sanford'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 Jessica Sanford was last updated on March 12, 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.