SANDRA TATE APN, PMNCNS-BC
NPI 1326093493
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Marion, IL

Q: What is Sandra Tate's NPI number?

The NPI number for Sandra Tate is 1326093493. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Sandra Tate's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Tate was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since May 24, 2006PECOS Enrolled

3412 OFFICE PARK DR, MARION, IL 62959(618) 292-9999(618) 551-2757 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Jan 5, 2026, Nov 20, 2025 and 2 more (5 updates tracked since 2021).

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About Sandra Tate Apn, Pmncns-bc NPPES

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

SANDRA TATE APN, PMNCNS-BC (NPI 1326093493) is an individual psychiatric/mental health, child & adolescent provider in Marion, Illinois, licensed in Illinois (277000849) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326093493

Entity TypeIndividualFemale

Primary Taxonomy364SP0807X

Provider Legal NameSANDRA TATECredential: APN, PMNCNS-BC

Location Address3412 OFFICE PARK DRMarion, IL 62959-6477

Mailing Address1601 Medlin RdCentralia, IL 62801-9531 · (618) 292-9999

Phone(618) 292-9999

Fax(618) 551-2757

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateJanuary 15, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1326093493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0807X

License✔ Licensed in IL · 277000849

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 277-000849 (IL)

3412 OFFICE PARK DR, Marion, IL 62959

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Other Identifiers 3

OtherCG2264IL · Rr Group Number

Other207988IL · Group

OtherP00220754IL · Rr Medicare Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Tate Apn, Pmncns-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Reported Quality Measures

Chlamydia Screening for Women

5%42 patients

Documentation of Current Medications in the Medical Record

94%108 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

18%107 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 36% · 44 patients

36%44 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

MICHELLE WHARTON APN, NP-C

Nurse Practitioner (Family)