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MRS. SANDRA ANN MCLOUGHLIN APRN
NPI 1235251208
Nurse Practitioner in Melbourne, FL

Active since April 03, 2007PECOS Enrolled
85.38/100
CMS Quality Rating
1223 GATEWAY DR STE 2D, MELBOURNE, FL 32901(321) 725-4500(321) 956-2540 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2020, Apr 9, 2019, Oct 30, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Sandra Ann Mcloughlin Aprn NPPES

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

MRS. SANDRA ANN MCLOUGHLIN APRN (NPI 1235251208) is an individual nurse practitioner in Melbourne, Florida, licensed in Florida (APRN2567682) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235251208
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SANDRA ANN MCLOUGHLINCredential: APRN
Location Address1223 GATEWAY DR STE 2DMelbourne, FL 32901-2607
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 725-4500
Phone(321) 725-4500
Fax(321) 956-2540
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 10, 20204 updates tracked since enumeration
NPPES CertifiedMarch 10, 2020
✔ NPI 1235251208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN2567682
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1223 GATEWAY DR STE 2D, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 3

Medicaid016245100FL
OtherU3089WFL · Medicare
OtherP01165539Fl Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Ann Mcloughlin Aprn 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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Mcloughlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health First Medical Group, LLC
Same address
General Practice
1223 GATEWAY DR
Melbourne, FL 32901
  • Reassigned Medicare billing, Florida enrollment
  • 773 clinicians in this Medicare group
NPI 1750626495 (321) 434-5055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

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 Mcloughlin's NPI number?

The NPI number for Sandra Mcloughlin is 1235251208. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Sandra Mcloughlin located?

Sandra Mcloughlin practices at 1223 Gateway Dr Ste 2D, Melbourne, FL 32901. The listed phone number is (321) 725-4500.

What is Sandra Mcloughlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Mcloughlin enrolled in Medicare?

Yes. Sandra Mcloughlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Mcloughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Mcloughlin reassigns Medicare benefits to Health First Medical Group, LLC (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Mcloughlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Mcloughlin was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.