DEEDRA SANDERS FNP-BC
NPI 1184450827
Nurse Practitioner - Family in Hartsville, SC

Q: What is Deedra Sanders's NPI number?

The NPI number for Deedra Sanders is 1184450827. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Q: What is Deedra Sanders'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 Deedra Sanders was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 10, 2024PECOS EnrolledAccepts Medicare Assignment

1268 S 4TH ST, HARTSVILLE, SC 29550(843) 332-3422(843) 332-3985 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 2, 2026, May 5, 2025, Mar 27, 2025 and 1 more (4 updates tracked since 2024).

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About Deedra Sanders Fnp-bc NPPES

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

DEEDRA SANDERS FNP-BC (NPI 1184450827) is an individual family provider in Hartsville, South Carolina, licensed in South Carolina (28778) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184450827

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEEDRA SANDERSCredential: FNP-BC

Location Address1268 S 4TH STHartsville, SC 29550-0703

Mailing AddressPo Box 1090Hartsville, SC 29551-1090 · (843) 857-0111 · Fax (843) 309-8126

Phone(843) 332-3422

Fax(843) 332-3985

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 10, 2024

Last NPPES UpdateApril 2, 20264 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1184450827 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 SC · 28778

1268 S 4TH ST, Hartsville, SC 29550

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Other Identifiers 1

MedicaidNN1130SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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

Deedra Sanders Fnp-bc 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 ID5890214282

PECOS Enrollment IDI20250529001030

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 29550 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

CARESOUTH CAROLINA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))