MR. CEDRIC JOSHUA SANDERS
NPI 1396619789
Nurse Practitioner in Bloomington, IL
About Mr. Cedric Joshua Sanders NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CEDRIC JOSHUA SANDERS (NPI 1396619789) is an individual nurse practitioner in Bloomington, Illinois, licensed in Illinois (209033451) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Cedric Joshua Sanders 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
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 Cedric Sanders's NPI number?
The NPI number for Cedric Sanders is 1396619789. It was assigned to this individual provider in the NPPES registry on September 30, 2025.
Where is Cedric Sanders located?
Cedric Sanders practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.
What is Cedric Sanders's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Cedric Sanders enrolled in Medicare?
Yes. Cedric Sanders 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.
Is Cedric Sanders affiliated with any hospitals?
According to CMS data, Cedric Sanders is affiliated with St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Cedric Sanders was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Cedric Joshua Sanders · NPI 1396619789
Nurse Practitioner physician in Bloomington, Illinois. Individual provider, active in the CMS NPPES registry since September 30, 2025.
## Identity
- **NPI:** 1396619789 (Entity type: Individual)
- **Enumerated:** September 30, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209033451 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2200 E WASHINGTON ST, Bloomington, IL 61701-4364
- **Phone:** (309) 662-3311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Vanderbilt University School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** April 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396619789) · Data from the CMS NPPES public registry.