1. Home
  2. Directory
  3. Florida
  4. Brandon
  5. Nurse Practitioner
  6. NPI Profile

SANDTRAIL FEET APRN
NPI 1699158717
Nurse Practitioner - Psychiatric/Mental Health in Brandon, FL

Active since July 07, 2015PECOS EnrolledAccepts Medicare Assignment
673 W LUMSDEN RD, BRANDON, FL 33511(813) 797-6174(813) 336-8306 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Jul 24, 2022, Feb 10, 2022 and 1 more (4 updates tracked since 2018).

About Sandtrail Feet Aprn NPPES

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

SANDTRAIL FEET APRN (NPI 1699158717) is an individual psychiatric/mental health provider in Brandon, Florida, licensed in Florida (9294779) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699158717
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDTRAIL FEETCredential: APRN
Location Address673 W LUMSDEN RDBrandon, FL 33511-5911
Mailing Address673 W Lumsden RdBrandon, FL 33511-5911 · (813) 797-6174 · Fax (813) 336-8306
Phone(813) 797-6174
Fax(813) 336-8306
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2015
Last NPPES UpdateApril 23, 20244 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1699158717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 9294779
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9294779 (FL)
673 W LUMSDEN RD, Brandon, FL 33511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health and more.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

Sandtrail Feet Aprn 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 ID1254649437
PECOS Enrollment IDI20240822000319
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 Sandtrail Feet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
197 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Florida enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 33511 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 2

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

ASSURED MENTAL & PHYSICAL HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
673 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 797-6174
RAYCHELLE SHERYL WALLACE
Counselor (Mental Health)
673 W LUMSDEN RD
BRANDON, FL 33511
Hillsborough County (813) 798-0800

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 Sandtrail Feet's NPI number?

The NPI number for Sandtrail Feet is 1699158717. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Sandtrail Feet located?

Sandtrail Feet practices at 673 W Lumsden Rd, Brandon, FL 33511. The listed phone number is (813) 797-6174.

What is Sandtrail Feet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandtrail Feet enrolled in Medicare?

Yes. Sandtrail Feet 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 Sandtrail Feet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandtrail Feet reassigns Medicare benefits to Grow Healthcare Group PA (Miami, 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 Sandtrail Feet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandtrail Feet accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sandtrail Feet 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 Sandtrail Feet was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.