JUSTIN K SANDEFUR
NPI 1497222400
Nurse Practitioner - Pediatrics in Austin, TX
About Justin K Sandefur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN K SANDEFUR (NPI 1497222400) is an individual pediatrics provider in Austin, Texas, licensed in Texas (AP139467) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
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
Justin K Sandefur 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.
Medicare Billing Reassignment
Medicare enrollment records show Justin Sandefur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 clinicians in this Medicare group
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 78723 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
AUSTIN, TX 78723
AUSTIN, TX 78723
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 Justin Sandefur's NPI number?
The NPI number for Justin Sandefur is 1497222400. It was assigned to this individual provider in the NPPES registry on October 28, 2018.
Where is Justin Sandefur located?
Justin Sandefur practices at 4900 Mueller Blvd, Austin, TX 78723. The listed phone number is (512) 324-0515.
What is Justin Sandefur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Justin Sandefur enrolled in Medicare?
Yes. Justin Sandefur 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 organization bills Medicare for Justin Sandefur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sandefur reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). 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 Justin Sandefur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Sandefur accept?
Health plans from Baylor Scott and White Health Plan, Harbor Health, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Justin Sandefur as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Justin Sandefur was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Justin K Sandefur · NPI 1497222400
Pediatrics physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since October 28, 2018.
## Identity
- **NPI:** 1497222400 (Entity type: Individual)
- **Enumerated:** October 28, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP139467 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4900 MUELLER BLVD, Austin, TX 78723-3079
- **Phone:** (512) 324-0515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Children's Physician Group (NPI 1861675506, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497222400) · Data from the CMS NPPES public registry.