RENEE SANDUSKY AGACNP-BC
NPI 1659042455
Nurse Practitioner - Acute Care in Orange City, FL

Q: What is Renee Sandusky's NPI number?

The NPI number for Renee Sandusky is 1659042455. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as Renee Freeman.

Q: What is Renee Sandusky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Renee Sandusky was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 22, 2021PECOS EnrolledAccepts Medicare Assignment

1055 SAXON BLVD, ORANGE CITY, FL 32763(386) 917-7108(386) 917-7293 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, May 27, 2025, Apr 1, 2025 and 2 more (5 updates tracked since 2021).

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About Renee Sandusky Agacnp-bc NPPES

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

RENEE SANDUSKY AGACNP-BC (NPI 1659042455) is an individual acute care provider in Orange City, Florida, licensed in Florida (APRN11028816) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Fish Memorial, and is a graduate of Rush Medical College Of Rush University (2015).

NPPES Registry Identity

NPI1659042455

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameRENEE SANDUSKYCredential: AGACNP-BC

Location Address1055 SAXON BLVDOrange City, FL 32763-8468

Mailing Address10193 Oak Crest RdOrlando, FL 32829-8251 · (407) 987-9752 · Fax (772) 223-6354

Phone(386) 917-7108

Fax(386) 917-7293

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2015

Enumeration DateSeptember 22, 2021

Last NPPES UpdateJanuary 12, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1659042455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN11028816

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11028816 (FL)

1055 SAXON BLVD, Orange City, FL 32763

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Other Names 1

Former Name (1)Renee Freeman

Other Identifiers 1

Medicaid111953100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Renee Sandusky Agacnp-bc 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 ID9133507569

PECOS Enrollment IDI20240521000560

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100072

Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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 20

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

PEDRO N. YEPES-HOYOS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1055 SAXON BLVD, DEPT. OF PATHOLOGY
ORANGE CITY, FL 32763

Volusia County (386) 851-5000

MRS. TASHA NAOMI BRICKHOUSE RDN, LD/N

Dietitian, Registered