1. Home
  2. Directory
  3. Florida
  4. Ormond Beach
  5. Emergency Medicine
  6. NPI Profile

SANDRA KAYE ARCHIBALD MD
NPI 1538147665
Emergency Medicine in Ormond Beach, FL

Active since January 09, 2006PECOS Enrolled
461 S NOVA RD, ORMOND BEACH, FL 32174(386) 671-4337(386) 671-1127 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Feb 3, 2021 (2 updates tracked since 2021).

About Sandra Kaye Archibald Md NPPES

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

SANDRA KAYE ARCHIBALD MD (NPI 1538147665) is an individual emergency medicine provider in Ormond Beach, Florida, licensed in Florida (104271) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538147665
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSANDRA KAYE ARCHIBALDCredential: MD
Location Address461 S NOVA RDOrmond Beach, FL 32174
Mailing Address461 S Nova RdOrmond Beach, FL 32174-6138 · (386) 671-4337
Phone(386) 671-4337
Fax(386) 671-1127
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1538147665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · 104271✔ Licensed in KY · 35509
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
461 S NOVA RD, Ormond Beach, FL 32174
Open in Google Maps ↗

Other Identifiers 6

Other930097462Railroad Medicare
Medicaid200301090AIN
Other029882600Federal Black Lung Group
Medicaid64025554KY
Other1131059KY · Passport
Other000000057678KY · Anthem Group Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Kaye Archibald Md 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 Sandra Archibald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Health Care Plan, Inc
4.8 mi
Preferred Provider Organization
2450 MASON AVE
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 132 clinicians in this Medicare group
NPI 1558302042 (386) 615-4021

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 32174 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

MRS. KIMBERLY MILLIGAN SHAPIRO PA
Physician Assistant (Medical)
461 S NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 671-4337
GORDON JONES M.D.
Family Medicine
461 S NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 671-4337
KYLA FAILLE MD
Family Medicine
461 S NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 671-4337
MS. AUTUMN ENRIQUE OAKES ARNP
Nurse Practitioner (Family)
461 S NOVA RD
ORMOND BEACH, FL 32174
Flagler County (386) 671-4337

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 Archibald's NPI number?

The NPI number for Sandra Archibald is 1538147665. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Sandra Archibald located?

Sandra Archibald practices at 461 S Nova Rd, Ormond Beach, FL 32174. The listed phone number is (386) 671-4337.

What is Sandra Archibald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sandra Archibald enrolled in Medicare?

Yes. Sandra Archibald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Archibald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Archibald reassigns Medicare benefits to Florida Health Care Plan, Inc (Daytona Beach, FL). 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 Sandra Archibald'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 Archibald was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.