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MRS. SANDRA MICHELLE SUDDUTH APRN
NPI 1386317550
Nurse Practitioner - Primary Care in West Haven, CT

Active since July 26, 2021PECOS Enrolled
950 CAMPBELL AVE, WEST HAVEN, CT 06516(203) 932-5711 Get Directions Write a Review

NPPES record last updated: August 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 22, 2021, Jul 26, 2021 (2 updates tracked since 2021).

About Mrs. Sandra Michelle Sudduth Aprn NPPES

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

MRS. SANDRA MICHELLE SUDDUTH APRN (NPI 1386317550) is an individual primary care provider in West Haven, Connecticut, licensed in Connecticut (9818) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386317550
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. SANDRA MICHELLE SUDDUTHCredential: APRN
Location Address950 CAMPBELL AVEWest Haven, CT 06516-2770
Mailing Address6 Monhege PathMarlborough, CT 06447-1125 · (203) 915-9519
Phone(203) 932-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 22, 20212 updates tracked since enumeration
NPPES CertifiedAugust 22, 2021
✔ NPI 1386317550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CT · 9818
Also ListedRegistered NurseTaxonomy 163W00000X · License E52898 (CT)
950 CAMPBELL AVE, West Haven, CT 06516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Michelle Sudduth Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062896780
PECOS Enrollment IDI20250317002463
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

2

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

Impact Health Aco PC
2.5 mi
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
NPI 1447177068 (203) 497-3861
Impact Health P.C.
2.5 mi
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Impact Health PC
  • 129 clinicians in this Medicare group
NPI 1730694316 (203) 497-3861

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 06516 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 20

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

LESLIE LIN PHARMD
Pharmacist (Ambulatory Care)
950 CAMPBELL AVE, PHARMACY SERVICE (119)
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
NICHOLAS ANDREW VISSICCHIO PH.D.
Psychologist (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DEVON MACKAY LMSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MR. JAMES MICHAEL ALEKSUNES
Counselor
950 CAMPBELL AVE, MS 122V
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MRS. TRACEY PASCARELLA RD
Dietitian, Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
DR. ANTHONY JAMES LISI D.C.
Chiropractor
950 CAMPBELL AVE, BUILDING 2, FLOOR 4
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. EVANGELINE BENOIT
Nurse Anesthetist, Certified Registered
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (203) 932-5711
MS. MELISSA ANN SIMONE LCSW
Social Worker (Clinical)
950 CAMPBELL AVE
WEST HAVEN, CT 06516
South Central Connecticut Planning Region (860) 694-4875

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 Sudduth's NPI number?

The NPI number for Sandra Sudduth is 1386317550. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Sandra Sudduth located?

Sandra Sudduth practices at 950 Campbell Ave, West Haven, CT 06516. The listed phone number is (203) 932-5711.

What is Sandra Sudduth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sandra Sudduth enrolled in Medicare?

Yes. Sandra Sudduth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandra Sudduth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Sudduth reassigns Medicare benefits to 2 organizations: Impact Health Aco PC (Orange, CT) and Impact Health P.C. (Orange, CT). 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 Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Sudduth accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandra Sudduth 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 Sandra Sudduth was last updated on August 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.