SANDRA KAY IRVIN ARNP
NPI 1477602043
Nurse Practitioner - Family in Columbia, KY

Q: What is Sandra Irvin's NPI number?

The NPI number for Sandra Irvin is 1477602043. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Sandra Kay Jones Aprn.

Q: What is Sandra Irvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Irvin was last updated on August 26, 2020. 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.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

96.68/100

CMS Quality Rating

937 CAMPBELLSVILLE RD, COLUMBIA, KY 42728(270) 384-2777(270) 384-2770 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2020, Jan 18, 2016 (2 updates tracked since 2016).

On this page

About Sandra Kay Irvin Arnp NPPES

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

SANDRA KAY IRVIN ARNP (NPI 1477602043) is an individual family provider in Columbia, Kentucky, licensed in Kentucky (3004654) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1477602043

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA KAY IRVINCredential: ARNP

Location Address937 CAMPBELLSVILLE RDColumbia, KY 42728-2265

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693

Phone(270) 384-2777

Fax(270) 384-2770

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJanuary 10, 2007

Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration

NPPES CertifiedAugust 26, 2020

✔ NPI 1477602043 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

License✔ Licensed in KY · 3004654

937 CAMPBELLSVILLE RD, Columbia, KY 42728

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Other Names 1

Former Name (1)Sandra Kay Jones Aprn

Other Identifiers 1

Medicaid78015112KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Sandra Kay Irvin Arnp 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 ID2961427596

PECOS Enrollment IDI20051012000513

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 5

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

66 services45 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

36 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

33 services27 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

22 services11 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180087

Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County

Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number180149

Location901 Westlake DriveColumbia, KY 42728 · Adair County

Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY

OwnershipGovernment - Local

CMS Certification Number181330

Location153 Dowell RoadRussell Springs, KY 42642 · Russell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42728 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

96.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

83.69

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers65 claims125 services$5.65 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers20 claims26 services$1.08 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

1 supplier15 claims30 services$2.57 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers38 claims38 services$21.29 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers40 claims40 services$44.01 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$7.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

CUMBERLAND FAMILY MEDICAL CENTER INC

Clinic/Center (Federally Qualified Health Center (FQHC))