KIMBERLY LYANNE SANDOVAL FNP-C, FNP-BC
NPI 1164357760
Nurse Practitioner - Family in Glendale, AZ

Q: What is Kimberly Sandoval's NPI number?

The NPI number for Kimberly Sandoval is 1164357760. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Q: What is Kimberly Sandoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Sandoval was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 15, 2026PECOS Enrolled

5810 W BEVERLY LN, GLENDALE, AZ 85306(480) 792-6024(480) 257-1992 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kimberly Lyanne Sandoval Fnp-c, Fnp-bc NPPES

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

KIMBERLY LYANNE SANDOVAL FNP-C, FNP-BC (NPI 1164357760) is an individual family provider in Glendale, Arizona, licensed in Arizona (230115) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1164357760

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY LYANNE SANDOVALCredential: FNP-C, FNP-BC

Location Address5810 W BEVERLY LNGlendale, AZ 85306-1800

Mailing Address5810 W Beverly LnGlendale, AZ 85306-1800 · (480) 792-6024 · Fax (480) 257-1992

Phone(480) 792-6024

Fax(480) 257-1992

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1164357760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 230115

5810 W BEVERLY LN, Glendale, AZ 85306

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Lyanne Sandoval Fnp-c, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971069840

PECOS Enrollment IDI20260730003664

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 Kimberly Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ironwood Physicians, PC

28 mi

Hematology & Oncology

695 S DOBSON RD
Chandler, AZ 85224

Reassigned Medicare billing, Arizona enrollment
148 clinicians in this Medicare group

NPI 1740269299 (480) 821-2838

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 85306 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

DR. MURALI G MURTY MD

Radiology (Radiation Oncology)