JONI MICHELLE SANDOVAL
NPI 1215472253
Nurse Practitioner - Family in North Platte, NE

Active since December 29, 2016PECOS EnrolledAccepts Medicare Assignment
611 W FRANCIS ST, SUITE 100, NORTH PLATTE, NE 69101(308) 520-6237 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, Aug 30, 2017, Dec 29, 2016 (3 updates tracked since 2016).

About Joni Michelle Sandoval NPPES

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

JONI MICHELLE SANDOVAL (NPI 1215472253) is an individual family provider in North Platte, Nebraska, licensed in Nebraska (112165) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215472253
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJONI MICHELLE SANDOVAL
Location Address611 W FRANCIS ST, SUITE 100North Platte, NE 69101-0620
Mailing Address611 West Francis St. Suite 100North Platte, NE 69101-3711 · (308) 534-2532
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 29, 2016
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
NPI 1215472253 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 NE · 112165
611 W FRANCIS ST, North Platte, NE 69101

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

Joni Michelle Sandoval 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 ID1850673476
PECOS Enrollment IDI20170116000578
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 5

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.
169 services95 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.
104 services80 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
35 services35 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
30 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Great Plains Health

Acute Care Hospitals · North Platte, NE
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280065
Location601 West Leota StNorth Platte, NE 69101 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69101 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims36 services$4.21 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 15

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

Physician Assistant
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Internal Medicine (Nephrology)
611 W FRANCIS ST, STE 270
NORTH PLATTE, NE 69101
Nurse Practitioner (Adult Health)
611 W FRANCIS ST, SUITE 270
NORTH PLATTE, NE 69101
Internal Medicine (Infectious Disease)
611 W FRANCIS ST, SUITE 200
NORTH PLATTE, NE 69101
Nurse Practitioner
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Internal Medicine
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Urology
611 W FRANCIS ST
NORTH PLATTE, NE 69101
Family Medicine
611 W FRANCIS ST
NORTH PLATTE, NE 69101

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 Joni Sandoval's NPI number?

The NPI number for Joni Sandoval is 1215472253. It was assigned to this individual provider in the NPPES registry on December 29, 2016.

Where is Joni Sandoval located?

Joni Sandoval practices at 611 W Francis St Suite 100, North Platte, NE 69101. The listed phone number is (308) 520-6237.

What is Joni Sandoval's specialty?

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

Is Joni Sandoval enrolled in Medicare?

Yes. Joni Sandoval 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 Joni Sandoval accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Joni Sandoval 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 Joni Sandoval affiliated with any hospitals?

According to CMS data, Joni Sandoval is affiliated with The Nebraska Medical Center and Great Plains Health.

When was this NPI record last updated?

The NPPES record for Joni Sandoval was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.