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JORDAN DOUGLAS SANDERS AG-ACNP
NPI 1619709805
Nurse Practitioner in Santa Maria, CA

Active since August 15, 2024PECOS EnrolledAccepts Medicare Assignment
1510 E MAIN ST STE 104C, SANTA MARIA, CA 93454(805) 928-5767(805) 349-0222 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Aug 15, 2024 (2 updates tracked since 2024).

About Jordan Douglas Sanders Ag-acnp NPPES

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

JORDAN DOUGLAS SANDERS AG-ACNP (NPI 1619709805) is an individual nurse practitioner in Santa Maria, California, licensed in California (95034111) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Abilene, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619709805
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJORDAN DOUGLAS SANDERSCredential: AG-ACNP
Location Address1510 E MAIN ST STE 104CSanta Maria, CA 93454-4825
Mailing Address3231 Orcutt Rd Apt 3Santa Maria, CA 93455-2396 · (325) 668-7031
Phone(805) 928-5767
Fax(805) 349-0222
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 15, 2024
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1619709805 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 CA · 95034111
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 ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 95211424 (CA)
1510 E MAIN ST STE 104C, Santa Maria, CA 93454
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Secondary Practice Location 1

Location 11900 Pine StAbilene, TX 79601-2432 · Phone (412) 371-9133

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

Jordan Douglas Sanders Ag-acnp 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 ID5193232502
PECOS Enrollment IDI20250730001305
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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

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

DR. KIRSTEN ELISE SHAW MD
Internal Medicine (Cardiovascular Disease)
1510 E MAIN ST STE 104C
SANTA MARIA, CA 93454
Santa Barbara County (805) 928-5767

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 Jordan Sanders's NPI number?

The NPI number for Jordan Sanders is 1619709805. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Jordan Sanders located?

Jordan Sanders practices at 1510 E Main St Ste 104C, Santa Maria, CA 93454. The listed phone number is (805) 928-5767.

What is Jordan Sanders's specialty?

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

Is Jordan Sanders enrolled in Medicare?

Yes. Jordan Sanders 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.

When was this NPI record last updated?

The NPPES record for Jordan Sanders was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.