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REBECCA MAE SANDOVAL PA-C
NPI 1417647850
Physician Assistant in Elkhart, IN

Active since May 09, 2023PECOS Enrolled
57818 WEATHERED PINE CT, ELKHART, IN 46517(574) 343-3515 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, May 9, 2023 (2 updates tracked since 2023).

About Rebecca Mae Sandoval Pa-c NPPES

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

REBECCA MAE SANDOVAL PA-C (NPI 1417647850) is an individual physician assistant in Elkhart, Indiana and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417647850
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREBECCA MAE SANDOVALCredential: PA-C
Location Address57818 WEATHERED PINE CTElkhart, IN 46517-8811
Mailing Address57818 Weathered Pine CtElkhart, IN 46517-8811
Phone(574) 343-3515
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 9, 2023
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1417647850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
57818 WEATHERED PINE CT, Elkhart, IN 46517
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Mae Sandoval Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092284547
PECOS Enrollment IDI20260514001758
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 46517 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rebecca Sandoval's NPI number?

The NPI number for Rebecca Sandoval is 1417647850. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Rebecca Sandoval located?

Rebecca Sandoval practices at 57818 Weathered Pine Ct, Elkhart, IN 46517. The listed phone number is (574) 343-3515.

What is Rebecca Sandoval's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rebecca Sandoval enrolled in Medicare?

Yes. Rebecca Sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Sandoval was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.