DR. STACEY SANDERS D.P.M.
NPI 1114999158
Podiatrist - Primary Podiatric Medicine in Fort Lauderdale, FL

Q: What is Stacey Sanders's NPI number?

The NPI number for Stacey Sanders is 1114999158. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Q: What is Stacey Sanders's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Q: Is Stacey Sanders enrolled in Medicare?

No. Stacey Sanders has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Stacey Sanders was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 03, 2006Opted out of Medicare · through Jan 1, 2027

816 MIDDLE ST APT 1, FORT LAUDERDALE, FL 33312(239) 218-2051 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2021, Jan 15, 2019, Nov 17, 2018 and 2 more (5 updates tracked since 2018).

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About Dr. Stacey Sanders D.p.m. NPPES

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

DR. STACEY SANDERS D.P.M. (NPI 1114999158) is an individual primary podiatric medicine provider in Fort Lauderdale, Florida, licensed in Florida (PO3875) and active in the NPI registry since February 2006. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1114999158

Entity TypeIndividualFemale

Primary Taxonomy213EP1101X

Provider Legal NameDR. STACEY SANDERSCredential: D.P.M.

Location Address816 MIDDLE ST APT 1Fort Lauderdale, FL 33312-7107

Mailing Address816 Middle St Apt 1Fort Lauderdale, FL 33312-7107 · (239) 218-2051

Phone(239) 218-2051

Sole ProprietorYes

Enumeration DateFebruary 3, 2006

Last NPPES UpdateDecember 27, 20215 updates tracked since enumeration

NPPES CertifiedDecember 27, 2021

✔ NPI 1114999158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers

Taxonomy Code213EP1101X

Licenses✔ Licensed in FL · PO3875✔ Licensed in FL · 3875

816 MIDDLE ST APT 1, Fort Lauderdale, FL 33312

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stacey Sanders D.p.m. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023

Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Stacey Sanders's NPI number?

The NPI number for Stacey Sanders is 1114999158. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Stacey Sanders located?

Stacey Sanders practices at 816 Middle St Apt 1, Fort Lauderdale, FL 33312. The listed phone number is (239) 218-2051.

What is Stacey Sanders's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Stacey Sanders enrolled in Medicare?

No. Stacey Sanders has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stacey Sanders was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.