DORIS PLUNKETT SANFORD
NPI 1649316233
Nurse Practitioner - Family in Lexington, MS
About Doris Plunkett Sanford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DORIS PLUNKETT SANFORD (NPI 1649316233) is an individual family provider in Lexington, Mississippi, licensed in Mississippi (R589101) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Greenwood Leflore Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Doris Plunkett Sanford 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 Reassignments
2Medicare enrollment records show Doris Sanford reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lexington, MS 39095
- Reassigned Medicare billing, Mississippi enrollment
- 2 clinicians in this Medicare group
Lexington, MS 39095
- Reassigned Medicare billing, Mississippi enrollment
- 6 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Greenwood Leflore Hospital
Acute Care Hospitals · Greenwood, MSHolmes County Hospital And Clinics
Critical Access Hospitals · Lexington, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Doris Sanford's NPI number?
The NPI number for Doris Sanford is 1649316233. It was assigned to this individual provider in the NPPES registry on January 30, 2007.
Where is Doris Sanford located?
Doris Sanford practices at 224 Court Sq, Lexington, MS 39095. The listed phone number is (662) 834-1721.
What is Doris Sanford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Doris Sanford enrolled in Medicare?
Yes. Doris Sanford 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 Doris Sanford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Doris Sanford reassigns Medicare benefits to 2 organizations: Hometown Family Care, LLC (Lexington, MS) and (Lexington, MS). 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 Doris Sanford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Doris Sanford accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Doris Sanford 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.
Is Doris Sanford affiliated with any hospitals?
According to CMS data, Doris Sanford is affiliated with Greenwood Leflore Hospital and Holmes County Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Doris Sanford was last updated on March 27, 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.
# Doris Plunkett Sanford · NPI 1649316233
Family physician in Lexington, Mississippi. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1649316233 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R589101 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 224 COURT SQ, Lexington, MS 39095-3638
- **Phone:** (662) 834-1721 · **Fax:** (662) 450-8088
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hometown Family Care, LLC (NPI 1548800527, Lexington, MS); (NPI 1669485983, Lexington, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** March 27, 2025
- **Other identifiers:** Medicaid 00117094 (MS); Other 258908; Other R589101 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1649316233) · Data from the CMS NPPES public registry.