MADIJA J. SANDY MSN, PMHNP
NPI 1134917768
Nurse Practitioner - Psychiatric/Mental Health in Wilder, KY

Active since April 25, 2025PECOS Enrolled
519 LICKING PIKE, WILDER, KY 41071(859) 572-0400 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madija J. Sandy Msn, Pmhnp NPPES

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

MADIJA J. SANDY MSN, PMHNP (NPI 1134917768) is an individual psychiatric/mental health provider in Wilder, Kentucky, licensed in Kentucky (4045260) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134917768
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMADIJA J. SANDYCredential: MSN, PMHNP
Location Address519 LICKING PIKEWilder, KY 41071-2912
Mailing Address6973 Paddison RdCincinnati, OH 45230-2308 · (513) 600-6154
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 25, 2025
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1134917768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 4045260
519 LICKING PIKE, Wilder, KY 41071

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madija J. Sandy Msn, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729579735
PECOS Enrollment IDI20251118002194
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 Madija Sandy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health (Including Community Mental Health Center)
519 LICKING PIKE
Wilder, KY 41071
  • Reassigned Medicare billing, Kentucky enrollment
  • 2 clinicians in this Medicare group

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 41071 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 13

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
519 LICKING PIKE
WILDER, KY 41071
Psychiatry & Neurology (Psychiatry)
519 LICKING PIKE
WILDER, KY 41071
Counselor (Professional)
519 LICKING PIKE
WILDER, KY 41071
Counselor (Professional)
519 LICKING PIKE
WILDER, KY 41071
Nurse Practitioner (Psychiatric/Mental Health)
519 LICKING PIKE
WILDER, KY 41071
Counselor (Mental Health)
519 LICKING PIKE, SUITE 100
WILDER, KY 41071
Nurse Practitioner (Psychiatric/Mental Health)
519 LICKING PIKE
WILDER, KY 41071
Social Worker (Clinical)
519 LICKING PIKE, THERAPEUTIC COLLABORATIVE
WILDER, KY 41071

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 Madija Sandy's NPI number?

The NPI number for Madija Sandy is 1134917768. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Madija Sandy located?

Madija Sandy practices at 519 Licking Pike, Wilder, KY 41071. The listed phone number is (859) 572-0400.

What is Madija Sandy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Madija Sandy enrolled in Medicare?

Yes. Madija Sandy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madija Sandy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madija Sandy reassigns Medicare benefits to Mindlift LLC (Wilder, KY). 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 Madija Sandy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madija Sandy accept?

Health plans from Anthem Blue Cross and Blue Shield list Madija Sandy 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.

When was this NPI record last updated?

The NPPES record for Madija Sandy was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.