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SANDRA LERDAL AGNP
NPI 1487312187
Nurse Practitioner - Gerontology in Phoenix, AZ

Active since November 30, 2021PECOS EnrolledAccepts Medicare Assignment
13236 N 26TH PL, PHOENIX, AZ 85032(605) 929-7253 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandra Lerdal Agnp NPPES

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

SANDRA LERDAL AGNP (NPI 1487312187) is an individual gerontology provider in Phoenix, Arizona, licensed in Arizona (AG11210010) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487312187
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSANDRA LERDALCredential: AGNP
Location Address13236 N 26TH PLPhoenix, AZ 85032-5903
Mailing Address7010 E Acoma DrScottsdale, AZ 85254-3553
Phone(605) 929-7253
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 29, 2021
✔ NPI 1487312187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · AG11210010
13236 N 26TH PL, Phoenix, AZ 85032
Open in Google Maps ↗

Other Names 1

Former Name (1)Sandra Wipf

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Lerdal Agnp 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 ID5395100374
PECOS Enrollment IDI20230426001427
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 Reassignments

2

Medicare enrollment records show Sandra Lerdal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renew Medical Center, LLC
7.7 mi
Physical Medicine & Rehabilitation
17250 N 43RD AVE STE 5
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1043800345 (623) 842-1261
Corner Health Medical Group P A
12 mi
Family
2 N CENTRAL AVE
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 90 clinicians in this Medicare group
NPI 1205689171 (602) 123-4567

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
641 services24 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
336 services24 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
332 services24 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.
84 services32 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
54 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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.

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 Lerdal's NPI number?

The NPI number for Sandra Lerdal is 1487312187. It was assigned to this individual provider in the NPPES registry on November 30, 2021. The provider is also known as Sandra Wipf.

Where is Sandra Lerdal located?

Sandra Lerdal practices at 13236 N 26th Pl, Phoenix, AZ 85032. The listed phone number is (605) 929-7253.

What is Sandra Lerdal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Sandra Lerdal enrolled in Medicare?

Yes. Sandra Lerdal 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.

Which organizations bill Medicare for Sandra Lerdal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Lerdal reassigns Medicare benefits to 2 organizations: Renew Medical Center, LLC (Glendale, AZ) and Corner Health Medical Group P A (Phoenix, AZ). Each 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 Sandra Lerdal'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 Sandra Lerdal was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.