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

Q: 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.

Q: 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.

Q: 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 20 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.

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: August 02, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 20 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.