SANDRA L PRUETT CNP
NPI 1750515649
Nurse Practitioner - Adult Health in Marietta, GA

Q: What is Sandra Pruett's NPI number?

The NPI number for Sandra Pruett is 1750515649. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Q: What is Sandra Pruett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Pruett was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment

55 WHITCHER ST NE STE 160, MARIETTA, GA 30060(770) 590-4180(770) 590-4186 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2022, Feb 14, 2022, Sep 14, 2018 (3 updates tracked since 2018).

On this page

About Sandra L Pruett Cnp NPPES

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

SANDRA L PRUETT CNP (NPI 1750515649) is an individual adult health provider in Marietta, Georgia, licensed in Georgia (GAA-NP000964) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750515649

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSANDRA L PRUETTCredential: CNP

Location Address55 WHITCHER ST NE STE 160Marietta, GA 30060-1160

Mailing Address55 Whitcher St Ne Ste 160Marietta, GA 30060-1160 · (770) 590-4180 · Fax (770) 590-4186

Phone(770) 590-4180

Fax(770) 590-4186

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2009

Last NPPES UpdateNovember 14, 20223 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1750515649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in GA · GAA-NP000964✔ Licensed in DE · LB-0000225✔ Licensed in MD · AC001270

Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0017162 (DE)

55 WHITCHER ST NE STE 160, Marietta, GA 30060

Open in Google Maps ↗

Secondary Practice Location 1

Location 14755 Ogletown Stanton RdNewark, DE 19718-6289 · Phone (302) 733-4797 · Fax (302) 733-4877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., AmeriHealth Caritas Next.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

Sandra L Pruett Cnp 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 ID3971765801

PECOS Enrollment IDI20221004003586

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services89 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30060 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Leave this field empty

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.

MR. JOHN SCARBOROUGH ACNPC-AG

Nurse Practitioner (Critical Care Medicine)