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MRS. SANDRA A FADER APN
NPI 1467961706
Nurse Practitioner in Bloomington, IL

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment
1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704(309) 663-6461(309) 663-5711 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Sandra A Fader Apn NPPES

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

MRS. SANDRA A FADER APN (NPI 1467961706) is an individual nurse practitioner in Bloomington, Illinois, licensed in Illinois (209016547) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467961706
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SANDRA A FADERCredential: APN
Location Address1111 TRINITY LN STE 111Bloomington, IL 61704-8112
Mailing Address611 W. Park St, FapcUrbana, IL 61801
Phone(309) 663-6461
Fax(309) 663-5711
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 28, 2017
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1467961706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209016547
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209016547 (IL)
1111 TRINITY LN STE 111, Bloomington, IL 61704
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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 and accepts Medicare assignment

Mrs. Sandra A Fader Apn 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 ID5294091450
PECOS Enrollment IDI20171106000280
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 2

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

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
177 services146 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
81 services74 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN JUNIL KIM DPM
Podiatrist (Foot & Ankle Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
CARLE WEST PHYSICIAN GROUP INC
Durable Medical Equipment & Medical Supplies
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
EDWARD ERICKSEN
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
NICHOLAS RAY VON HOLTEN PA-C
Physician Assistant
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
DR. ELIZABETH K PLOCHER M.D.
Orthopaedic Surgery (Hand Surgery)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461
THOMAS L MURPHY D.O.
Family Medicine (Sports Medicine)
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 661-6414
KATELYN ANN WHITE OTR/L
Occupational Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 608-5100
MR. MATTHEW A KRESNICKA DPT
Physical Therapist
1111 TRINITY LN STE 111
BLOOMINGTON, IL 61704
McLean County (309) 663-6461

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 Fader's NPI number?

The NPI number for Sandra Fader is 1467961706. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Sandra Fader located?

Sandra Fader practices at 1111 Trinity Ln Ste 111, Bloomington, IL 61704. The listed phone number is (309) 663-6461.

What is Sandra Fader's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Fader enrolled in Medicare?

Yes. Sandra Fader 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 Sandra Fader affiliated with any hospitals?

According to CMS data, Sandra Fader is affiliated with Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Sandra Fader was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.