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DR. JOHANESE SANDY DNP, PMHNP-BC, FNP-C
NPI 1154819977
Nurse Practitioner - Psychiatric/Mental Health in Largo, MD

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
1401 MERCANTILE LN STE 500-J, LARGO, MD 20774(240) 260-3147(240) 885-8733 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2024, May 17, 2023, Apr 18, 2022 and 4 more (7 updates tracked since 2018).

About Dr. Johanese Sandy Dnp, Pmhnp-bc, Fnp-c NPPES

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

DR. JOHANESE SANDY DNP, PMHNP-BC, FNP-C (NPI 1154819977) is an individual psychiatric/mental health provider in Largo, Maryland, licensed in Maryland (R183268) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154819977
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JOHANESE SANDYCredential: DNP, PMHNP-BC, FNP-C
Location Address1401 MERCANTILE LN STE 500-JLargo, MD 20774-4301
Mailing Address1401 Mercantile Ln Ste 500-jLargo, MD 20774-4301 · (240) 260-3147 · Fax (240) 885-8733
Phone(240) 260-3147
Fax(240) 885-8733
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateDecember 5, 20247 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1154819977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MD · R183268
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R183268 (MD)
1401 MERCANTILE LN STE 500-J, Largo, MD 20774
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Other Names 1

Professional Name (2)Dr. Johanese Sandy Dnp, Pmhnp-bc, Fnp-c

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

Dr. Johanese Sandy Dnp, Pmhnp-bc, Fnp-c 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 ID1153674734
PECOS Enrollment IDI20181029002026
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 Johanese Sandy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellness Source LLC
3.2 mi
Family
4301 GARDEN CITY DR STE 304
Hyattsville, MD 20785
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group
NPI 1780031724 (301) 235-0060
Comprehensive Healthcare & Wellness Services LLC
4.3 mi
Primary Care
1014 ANDEAN GOOSE WAY
Upper Marlboro, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
NPI 1366112385 (240) 508-3363
Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
20 mi
Health Maintenance Organization
7670 QUARTERFIELD RD
Glen Burnie, MD 21061
  • Reassigned Medicare billing, Maryland enrollment
  • Also billed through NPI 1942546486 (Maryland)
  • 1,253 clinicians in this Medicare group
NPI 1285752121 (410) 508-7650

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 20774 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Johanese Sandy's NPI number?

The NPI number for Johanese Sandy is 1154819977. It was assigned to this individual provider in the NPPES registry on April 26, 2018. The provider is also known as Dr. Johanese Sandy Dnp, Pmhnp-Bc, Fnp-C.

Where is Johanese Sandy located?

Johanese Sandy practices at 1401 Mercantile Ln Ste 500-J, Largo, MD 20774. The listed phone number is (240) 260-3147.

What is Johanese Sandy's specialty?

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

Is Johanese Sandy enrolled in Medicare?

Yes. Johanese Sandy 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 Johanese Sandy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johanese Sandy reassigns Medicare benefits to 3 organizations: Wellness Source LLC (Hyattsville, MD), Comprehensive Healthcare & Wellness Services LLC (Upper Marlboro, MD) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Glen Burnie, MD). 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 Johanese Sandy'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 Johanese Sandy was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.