SANDRA LOPEZ MILLER FNP-C
NPI 1346022597
Nurse Practitioner in Seguin, TX
About Sandra Lopez Miller Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA LOPEZ MILLER FNP-C (NPI 1346022597) is an individual nurse practitioner in Seguin, Texas, licensed in Texas (1140066) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandra Lopez Miller Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sandra Miller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Helotes, TX 78023
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 240 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospital
Acute Care Hospitals · San Antonio, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Miller's NPI number?
The NPI number for Sandra Miller is 1346022597. It was assigned to this individual provider in the NPPES registry on October 20, 2023.
Where is Sandra Miller located?
Sandra Miller practices at 3415 Old Spanish Trl, Seguin, TX 78155. The listed phone number is (830) 491-7907.
What is Sandra Miller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sandra Miller enrolled in Medicare?
Yes. Sandra Miller 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.
Which organizations bill Medicare for Sandra Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Miller reassigns Medicare benefits to 3 organizations: Emergency Medicine Services Of Tx, PLLC (San Antonio, TX), Talno Medical,pllc (Helotes, TX) and Central Texas Community Health Centers (Austin, TX). Each 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 Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Miller accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Sandra Miller 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 Sandra Miller affiliated with any hospitals?
According to CMS data, Sandra Miller is affiliated with Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Sandra Miller was last updated on October 21, 2023. 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.
# Sandra Lopez Miller, FNP-C · NPI 1346022597
Nurse Practitioner physician in Seguin, Texas. Individual provider, active in the CMS NPPES registry since October 20, 2023.
## Identity
- **NPI:** 1346022597 (Entity type: Individual)
- **Enumerated:** October 20, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1140066 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3415 OLD SPANISH TRL, Seguin, TX 78155-7307
- **Phone:** (830) 491-7907
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Talno Medical,pllc (NPI 1922510734, Helotes, TX); Central Texas Community Health Centers (NPI 1427882091, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1346022597) · Data from the CMS NPPES public registry.