1. Home
  2. Directory
  3. Arizona
  4. Anthem
  5. Nurse Practitioner
  6. NPI Profile

DANA SANDRIK FNP
NPI 1457906380
Nurse Practitioner - Primary Care in Anthem, AZ

Active since August 07, 2019PECOS Enrolled
89.09/100
CMS Quality Rating
3624 W ANTHEM WAY STE C122, ANTHEM, AZ 85086(236) 434-5748(623) 551-8822 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2021, Aug 7, 2019 (2 updates tracked since 2019).

About Dana Sandrik Fnp NPPES

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

DANA SANDRIK FNP (NPI 1457906380) is an individual primary care provider in Anthem, Arizona, licensed in Arizona (RNP230511) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457906380
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDANA SANDRIKCredential: FNP
Location Address3624 W ANTHEM WAY STE C122Anthem, AZ 85086-0457
Mailing Address3624 W Anthem Way Ste C122Anthem, AZ 85086-0457 · (236) 434-5748 · Fax (623) 551-8822
Phone(236) 434-5748
Fax(623) 551-8822
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1457906380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AZ · RNP230511
3624 W ANTHEM WAY STE C122, Anthem, AZ 85086
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Sandrik Fnp 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 Dana Sandrik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc
29 mi
Surgery
2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1174856280 (602) 344-1095

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 85086 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

89.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost63.63

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 Dana Sandrik's NPI number?

The NPI number for Dana Sandrik is 1457906380. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Dana Sandrik located?

Dana Sandrik practices at 3624 W Anthem Way Ste C122, Anthem, AZ 85086. The listed phone number is (236) 434-5748.

What is Dana Sandrik's specialty?

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

Is Dana Sandrik enrolled in Medicare?

Yes. Dana Sandrik is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dana Sandrik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Sandrik reassigns Medicare benefits to District Medical Group, Inc (Phoenix, AZ). 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 Dana Sandrik'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 Dana Sandrik was last updated on February 18, 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.