1. Home
  2. Directory
  3. New Jersey
  4. Manahawkin
  5. Nurse Practitioner
  6. NPI Profile

DONNA MARIE PIRI SANDLER RN APN
NPI 1245757905
Nurse Practitioner in Manahawkin, NJ

Active since August 24, 2017PECOS Enrolled
41 NAUTILUS DR, MANAHAWKIN, NJ 08050(609) 978-0474(609) 978-1476 Get Directions Write a Review

NPPES record last updated: August 24, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna Marie Piri Sandler Rn Apn NPPES

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

DONNA MARIE PIRI SANDLER RN APN (NPI 1245757905) is an individual nurse practitioner in Manahawkin, New Jersey, licensed in New Jersey (26NJ00755100) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245757905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA MARIE PIRI SANDLERCredential: RN APN
Location Address41 NAUTILUS DRManahawkin, NJ 08050-2448
Mailing Address69 E Rolling Hills CtToms River, NJ 08755-3282
Phone(609) 978-0474
Fax(609) 978-1476
Sole ProprietorNo
Enumeration DateAugust 24, 2017
✔ NPI 1245757905 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 NJ · 26NJ00755100
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.
41 NAUTILUS DR, Manahawkin, NJ 08050
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Marie Piri Sandler Rn Apn 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 Donna Piri Sandler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barnegat Medical Associates P A
2.8 mi
Internal Medicine
44 NAUTILUS DR STE 2B
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
NPI 1972639474 (609) 978-0474

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 08050 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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
6 suppliers18 claims30 services$6.16 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 3

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

DR. ANDREW ROMANO DO
Internal Medicine
41 NAUTILUS DR
MANAHAWKIN, NJ 08050
Ocean County (609) 549-6787
DR. RAMA DAHAL M.D.
Internal Medicine
41 NAUTILUS DR
MANAHAWKIN, NJ 08050
Ocean County (609) 978-0474
CARDIOLOGY INTERVENTIONS LLC
Internal Medicine (Cardiovascular Disease)
41 NAUTILUS DR
MANAHAWKIN, NJ 08050
Ocean County (609) 597-8050

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 Donna Piri Sandler's NPI number?

The NPI number for Donna Piri Sandler is 1245757905. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Donna Piri Sandler located?

Donna Piri Sandler practices at 41 Nautilus Dr, Manahawkin, NJ 08050. The listed phone number is (609) 978-0474.

What is Donna Piri Sandler's specialty?

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

Is Donna Piri Sandler enrolled in Medicare?

Yes. Donna Piri Sandler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Piri Sandler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Piri Sandler reassigns Medicare benefits to Barnegat Medical Associates P A (Manahawkin, NJ). 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 Donna Piri Sandler'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 Donna Piri Sandler was last updated on August 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.