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SANDRA ELLEN PELLATT DNP, CRNP
NPI 1396419248
Nurse Practitioner - Acute Care in Paoli, PA

Active since August 04, 2021PECOS Enrolled
255 W LANCASTER AVE STE 200, PAOLI, PA 19301(914) 519-8110 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Aug 4, 2021 (2 updates tracked since 2021).

About Sandra Ellen Pellatt Dnp, Crnp NPPES

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

SANDRA ELLEN PELLATT DNP, CRNP (NPI 1396419248) is an individual acute care provider in Paoli, Pennsylvania, licensed in Pennsylvania (SP023737) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396419248
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSANDRA ELLEN PELLATTCredential: DNP, CRNP
Location Address255 W LANCASTER AVE STE 200Paoli, PA 19301-1763
Mailing Address212 Cobblestone DrArdmore, PA 19003-1241
Phone(914) 519-8110
Sole ProprietorNo
Enumeration DateAugust 4, 2021
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1396419248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in PA · SP023737✔ Licensed in NY · F431792
Also ListedRegistered NurseTaxonomy 163W00000X · License 741763 (PA), 714717 (NY)
255 W LANCASTER AVE STE 200, Paoli, PA 19301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Ellen Pellatt Dnp, Crnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Pellatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Main Line Healthcare
6.5 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

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 19301 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

JORDAN GELMAN PTA, LMT
Physical Therapy Assistant
255 W LANCASTER AVE STE 200
PAOLI, PA 19301
Chester County (610) 644-3166

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 Pellatt's NPI number?

The NPI number for Sandra Pellatt is 1396419248. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Sandra Pellatt located?

Sandra Pellatt practices at 255 W Lancaster Ave Ste 200, Paoli, PA 19301. The listed phone number is (914) 519-8110.

What is Sandra Pellatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sandra Pellatt enrolled in Medicare?

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

Which organization bills Medicare for Sandra Pellatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Pellatt reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Pellatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandra Pellatt was last updated on July 26, 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.