NICOLE L SANDIFER APN
NPI 1164465522
Nurse Practitioner - Obstetrics & Gynecology in Arlington, VA

Active since June 14, 2006PECOS Enrolled
1101 WILSON BLVD FL 6, ARLINGTON, VA 22209(888) 731-8994 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 23, 2025, Feb 7, 2024, Jan 21, 2022 (3 updates tracked since 2022).

About Nicole L Sandifer Apn NPPES

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

NICOLE L SANDIFER APN (NPI 1164465522) is an individual obstetrics & gynecology provider in Arlington, Virginia, licensed in Tennessee (APN 12020) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164465522
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameNICOLE L SANDIFERCredential: APN
Location Address1101 WILSON BLVD FL 6Arlington, VA 22209-2281
Mailing Address1101 Wilson Blvd Fl 6Arlington, VA 22209-2281 · (888) 731-8994
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1164465522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License Licensed in TN · APN 12020
1101 WILSON BLVD FL 6, Arlington, VA 22209

Other Identifiers 1

Medicaid3643310TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole L Sandifer Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22209 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%74 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
88%240 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,819 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%122 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%565 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%330 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 222 patients
Patients tobacco: 21% · 34 patients
79%222 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%565 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%565 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
37%565 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Women's Health)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Advanced Practice Midwife
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Nurse Practitioner (Family)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Nurse Practitioner (Family)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Nurse Practitioner (Women's Health)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Nurse Practitioner (Women's Health)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Home Health
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209
Nurse Practitioner (Women's Health)
1101 WILSON BLVD FL 6
ARLINGTON, VA 22209

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 Nicole Sandifer's NPI number?

The NPI number for Nicole Sandifer is 1164465522. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Nicole Sandifer located?

Nicole Sandifer practices at 1101 Wilson Blvd Fl 6, Arlington, VA 22209. The listed phone number is (888) 731-8994.

What is Nicole Sandifer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Nicole Sandifer enrolled in Medicare?

Yes. Nicole Sandifer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Sandifer was last updated on June 23, 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.