MS. SANDRA A. WAUGH FNP., RN,
NPI 1194904607
Nurse Practitioner - Family in Baldwin, NY

Active since October 31, 2007PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
951 PHYLLIS DR, BALDWIN, NY 11510(516) 532-3801 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Sandra A. Waugh Fnp., Rn, NPPES

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

MS. SANDRA A. WAUGH FNP., RN, (NPI 1194904607) is an individual family provider in Baldwin, New York, licensed in New York (337279) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194904607
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SANDRA A. WAUGHCredential: FNP., RN,
Location Address951 PHYLLIS DRBaldwin, NY 11510-5047
Mailing Address951 Phyllis DrBaldwin, NY 11510-5047 · (516) 532-3801
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 31, 2007
Last NPPES UpdateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
NPI 1194904607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 337279
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 5843821 (NY)
951 PHYLLIS DR, Baldwin, NY 11510

Other Identifiers 1

Medicaid00695941NY

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

Ms. Sandra A. Waugh Fnp., Rn, 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 ID7214157908
PECOS Enrollment IDI20141001000089
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 11510 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$3.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$63.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$33.19 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier32 claims32 services$13.39 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$25.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
951 PHYLLIS DR
BALDWIN, NY 11510

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 Sandra Waugh's NPI number?

The NPI number for Sandra Waugh is 1194904607. It was assigned to this individual provider in the NPPES registry on October 31, 2007.

Where is Sandra Waugh located?

Sandra Waugh practices at 951 Phyllis Dr, Baldwin, NY 11510. The listed phone number is (516) 532-3801.

What is Sandra Waugh's specialty?

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

Is Sandra Waugh enrolled in Medicare?

Yes. Sandra Waugh 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 Sandra Waugh was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.