MRS. SHANDA SANDRIDGE NP
NPI 1144527292
Nurse Practitioner - Pediatrics, Critical Care in Jackson, MS
About Mrs. Shanda Sandridge Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANDA SANDRIDGE NP (NPI 1144527292) is an individual pediatrics, critical care provider in Jackson, Mississippi, licensed in Mississippi (R871718) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Mrs. Shanda Sandridge Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Shanda Sandridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 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 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
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 Shanda Sandridge's NPI number?
The NPI number for Shanda Sandridge is 1144527292. It was assigned to this individual provider in the NPPES registry on February 24, 2011.
Where is Shanda Sandridge located?
Shanda Sandridge practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.
What is Shanda Sandridge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Shanda Sandridge enrolled in Medicare?
Yes. Shanda Sandridge 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 organization bills Medicare for Shanda Sandridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanda Sandridge reassigns Medicare benefits to State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS). 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 Shanda Sandridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanda Sandridge accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Shanda Sandridge 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 Shanda Sandridge was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Shanda Sandridge, NP · NPI 1144527292
Pediatrics, Critical Care physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since February 24, 2011.
## Identity
- **NPI:** 1144527292 (Entity type: Individual)
- **Enumerated:** February 24, 2011
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** R871718 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** June 5, 2012
- **Other identifiers:** Medicare PIN 302I505647 (MS); Medicare PIN 302I509596 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1144527292) · Data from the CMS NPPES public registry.