TERESA ANNE SANFORD DNP, CNP
NPI 1356320055
Nurse Practitioner - Family in Waukesha, WI

Q: What is Teresa Sanford's NPI number?

The NPI number for Teresa Sanford is 1356320055. It was assigned to this individual provider in the NPPES registry on January 11, 2006. The provider is also known as Teresa A Stankowski Rn Cnp.

Q: What is Teresa Sanford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Sanford was last updated on November 1, 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.

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment

83.72/100

CMS Quality Rating

N20W22961 WATERTOWN RD, WAUKESHA, WI 53186(262) 875-5070(866) 384-9486 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 1, 2023, Jul 21, 2022, May 25, 2017 and 1 more (4 updates tracked since 2017).

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About Teresa Anne Sanford Dnp, Cnp NPPES

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

TERESA ANNE SANFORD DNP, CNP (NPI 1356320055) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (4689-33) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hudson, and is a graduate of University Of Arizona College Of Medicine (2005).

NPPES Registry Identity

NPI1356320055

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTERESA ANNE SANFORDCredential: DNP, CNP

Location AddressN20W22961 WATERTOWN RDWaukesha, WI 53186-1306

Mailing Address403 Stageline Rd, Suite 250Hudson, WI 54016-7848 · (651) 772-6251 · Fax (651) 224-9661

Phone(262) 875-5070

Fax(866) 384-9486

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2005

Enumeration DateJanuary 11, 2006

Last NPPES UpdateNovember 1, 20234 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1356320055 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

Licenses✔ Licensed in WI · 4689-33✔ Licensed in MN · R1515154

N20W22961 WATERTOWN RD, Waukesha, WI 53186

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Other Names 1

Other Name (5)Teresa A Stankowski Rn Cnp

Secondary Practice Location 1

Location 1403 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6800 · Fax (715) 531-6801

Other Identifiers 4

Other899771045344MN · Preferred One

Medicaid482426100MN

Other135413MN · Ucare

Other1356320055MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), HealthPartners, UnitedHealthcare.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

Teresa Anne Sanford Dnp, Cnp 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 ID8224060744

PECOS Enrollment IDI20111207000244

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 Reassignments

Medicare enrollment records show Teresa Sanford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oak Medical Sc

0.2 mi

Internal Medicine

N20W22961 WATERTOWN RD
Waukesha, WI 53186

Reassigned Medicare billing, Wisconsin enrollment
191 clinicians in this Medicare group

NPI 1669910345 (262) 875-5070

Maple Medical Sc

3.1 mi

Physical Medicine & Rehabilitation

2428 N GRANDVIEW BLVD STE 102
Waukesha, WI 53188

Reassigned Medicare billing, Wisconsin enrollment
141 clinicians in this Medicare group

NPI 1487152104 (877) 307-3226

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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

356 services133 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

279 services124 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

134 services109 patients

Nursing facility discharge management, more than 30 minutes 99316

Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.

59 services56 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

11 services11 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

83.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.54

Promoting Interoperability

100

Improvement Activities

Cost

58.37

Referred Medical Equipment & Supplies CMS DME claims 3

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

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.10 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier22 claims660 services$6.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.10 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 20

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

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