SANDY BISHARA APRN-CNP
NPI 1194092379
Nurse Practitioner - Gerontology in Columbus, OH

Active since November 16, 2011PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE STE 3084, COLUMBUS, OH 43203(614) 293-4837(614) 293-3125 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2025, Jun 9, 2022, May 9, 2022 and 2 more (5 updates tracked since 2021).

About Sandy Bishara Aprn-cnp NPPES

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

SANDY BISHARA APRN-CNP (NPI 1194092379) is an individual gerontology provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0029785) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194092379
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSANDY BISHARACredential: APRN-CNP
Location Address543 TAYLOR AVE STE 3084Columbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4837 · Fax (614) 293-3125
Fax(614) 293-3125
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 16, 2011
Last NPPES UpdateDecember 5, 20255 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
NPI 1194092379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in OH · APRN.CNP.0029785
543 TAYLOR AVE STE 3084, Columbus, OH 43203

Accepted 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

Sandy Bishara Aprn-cnp 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 ID3870970551
PECOS Enrollment IDI20220518002398
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services171 patients
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.
28 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Rheumatology)
543 TAYLOR AVE STE 3084
COLUMBUS, OH 43203
Internal Medicine (Rheumatology)
543 TAYLOR AVE STE 3084
COLUMBUS, OH 43203
Internal Medicine (Rheumatology)
543 TAYLOR AVE STE 3084
COLUMBUS, OH 43203
Internal Medicine (Rheumatology)
543 TAYLOR AVE STE 3084
COLUMBUS, OH 43203

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 Sandy Bishara's NPI number?

The NPI number for Sandy Bishara is 1194092379. It was assigned to this individual provider in the NPPES registry on November 16, 2011.

Where is Sandy Bishara located?

Sandy Bishara practices at 543 Taylor Ave Ste 3084, Columbus, OH 43203. The listed phone number is (614) 293-4837.

What is Sandy Bishara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sandy Bishara enrolled in Medicare?

Yes. Sandy Bishara 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.

What insurance does Sandy Bishara accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource list Sandy Bishara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sandy Bishara affiliated with any hospitals?

According to CMS data, Sandy Bishara is affiliated with Ohio State University State Health System and Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sandy Bishara was last updated on December 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.