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STEFANIE N SANDERSON PA-C
NPI 1750385456
Physician Assistant - Surgical in Southlake, TX

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092(817) 442-9300(817) 796-0763 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stefanie N Sanderson Pa-c NPPES

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

STEFANIE N SANDERSON PA-C (NPI 1750385456) is an individual surgical provider in Southlake, Texas, licensed in Texas (PA04819) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Southlake, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1750385456
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTEFANIE N SANDERSONCredential: PA-C
Location Address1545 E SOUTHLAKE BLVD, SUITE 100Southlake, TX 76092-6422
Mailing AddressPo Box 502Roanoke, TX 76262-0502 · (214) 227-2457 · Fax (214) 699-4418
Phone(817) 442-9300
Fax(817) 796-0763
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 9, 2005
Last NPPES UpdateSeptember 11, 2018
✔ NPI 1750385456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TX · PA04819
1545 E SOUTHLAKE BLVD, Southlake, TX 76092
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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

Stefanie N Sanderson Pa-c 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 ID8123022621
PECOS Enrollment IDI20060913000565
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.

Texas Health Harris Methodist Hospital Southlake

Acute Care Hospitals · Southlake, TX
OwnershipGovernment - State
CMS Certification Number450888
Location1545 E Southlake BlvdSouthlake, TX 76092 · Tarrant County
Emergency services

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.

WHITNEY HOLMANS PT
Physical Therapist
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 442-9300
DANIEL PECKENPAUGH MD
Emergency Medicine
1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 748-8700
REBECCA MILLER PTA
Physical Therapy Assistant
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 442-9300
DFW NEUROMONITORING SERVICE II, PA
Specialist/Technologist, Other (Electroneurodiagnostic)
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 442-9300
DR. DEBORAH MARLAINE LARRISON M.D.
Specialist
1545 E SOUTHLAKE BLVD, SUITE 250
SOUTHLAKE, TX 76092
Tarrant County (817) 416-8080
ROBERT FRANK LUTZ III MD
Emergency Medicine
1545 E SOUTHLAKE BLVD
SOUTHLAKE, TX 76092
Tarrant County (817) 557-8205
DR. ROBERT W SEWELL MD
Surgery
1545 E SOUTHLAKE BLVD, SUITE 140
SOUTHLAKE, TX 76092
Tarrant County (817) 748-0200
MICHELLE HATLEY PT
Physical Therapist
1545 E SOUTHLAKE BLVD, SUITE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 442-9300

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 Stefanie Sanderson's NPI number?

The NPI number for Stefanie Sanderson is 1750385456. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Stefanie Sanderson located?

Stefanie Sanderson practices at 1545 E Southlake Blvd Suite 100, Southlake, TX 76092. The listed phone number is (817) 442-9300.

What is Stefanie Sanderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stefanie Sanderson enrolled in Medicare?

Yes. Stefanie Sanderson 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.

Is Stefanie Sanderson affiliated with any hospitals?

According to CMS data, Stefanie Sanderson is affiliated with Texas Health Harris Methodist Hospital Southlake.

When was this NPI record last updated?

The NPPES record for Stefanie Sanderson was last updated on September 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.