MS. SANDRA ELIZABETH DWAN FNP-C
NPI 1457861502
Nurse Practitioner - Family in Manchester, NH

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
100 HITCHCOCK WAY, MANCHESTER, NH 03104(603) 695-2500 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Sandra Elizabeth Dwan Fnp-c NPPES

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

MS. SANDRA ELIZABETH DWAN FNP-C (NPI 1457861502) is an individual family provider in Manchester, New Hampshire, licensed in New Hampshire (066061-23) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Tewksbury.

NPPES Registry Identity

NPI1457861502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SANDRA ELIZABETH DWANCredential: FNP-C
Location Address100 HITCHCOCK WAYManchester, NH 03104-4125
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1467
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
NPI 1457861502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NH · 066061-23 Licensed in MA · RN2272871
100 HITCHCOCK WAY, Manchester, NH 03104

Secondary Practice Location 1

Location 11900 Main StTewksbury, MA 01876-2112 · Phone (978) 851-6856 ext. 8221

Accepted Insurance

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

Ms. Sandra Elizabeth Dwan Fnp-c 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.

PECOS PAC ID1153677992
PECOS Enrollment IDI20180709002004, I20241029000858
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services46 patients
Adm sarscov2 30mcg/0.3ml bst 0004A
This is an administration of a COVID-19 vaccine, specifically 30 micrograms in a 0.3 milliliter dosage. The vaccine helps your body build protection against the SARS-CoV-2 virus, which causes COVID-19.
33 services33 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
29 services29 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services20 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03104 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.44
Improvement Activities40
Cost98.29

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%58 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Internal Medicine (Gastroenterology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Internal Medicine (Cardiovascular Disease)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Specialist
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Internal Medicine
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Radiology (Diagnostic Radiology)
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Obstetrics & Gynecology
100 HITCHCOCK WAY
MANCHESTER, NH 03104
Pediatrics
100 HITCHCOCK WAY
MANCHESTER, NH 03104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457861502, enumerated as an "individual" on October 03, 2017.

The provider is located at 100 HITCHCOCK WAY MANCHESTER, NH 03104 and the phone number is (603) 695-2500.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to verify.

Sandra Dwan is affiliated with: MARY HITCHCOCK MEMORIAL HOSPITAL and SOUTHERN NH MEDICAL CENTER.