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DAVID SANDIFER
NPI 1386308922
Nurse Practitioner in Fort Wayne, IN

Active since October 29, 2021PECOS Enrolled
5015 W JEFFERSON BLVD, FORT WAYNE, IN 46804(219) 508-6424 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Sandifer NPPES

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

DAVID SANDIFER (NPI 1386308922) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (28223639A) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386308922
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDAVID SANDIFER
Location Address5015 W JEFFERSON BLVDFort Wayne, IN 46804-6803
Mailing Address3144 Breyerton CvFort Wayne, IN 46814-0002 · (219) 508-6424
Phone(219) 508-6424
Sole ProprietorNo
Enumeration DateOctober 29, 2021
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1386308922 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 IN · 28223639A
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.
5015 W JEFFERSON BLVD, Fort Wayne, IN 46804
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 BroadwayFort Wayne, IN 46802-1493 · Phone (260) 425-3000
Location 23144 Breyerton CvFort Wayne, IN 46814-0002 · Phone (219) 508-6424

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Sandifer 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 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES

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

FEMME MED & SPA
Obstetrics & Gynecology
5015 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 252-4080

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 David Sandifer's NPI number?

The NPI number for David Sandifer is 1386308922. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is David Sandifer located?

David Sandifer practices at 5015 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (219) 508-6424.

What is David Sandifer's specialty?

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

Is David Sandifer enrolled in Medicare?

Yes. David Sandifer is registered in the Medicare PECOS enrollment system.

What insurance does David Sandifer accept?

Health plans from CareSource list David Sandifer 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.

When was this NPI record last updated?

The NPPES record for David Sandifer was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.