Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUDREY J SANDERS
NPI 1770079774
Physician Assistant in Longview, TX

Q: What is Audrey Sanders's NPI number?

The NPI number for Audrey Sanders is 1770079774. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Audrey Sanders's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Sanders was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 July 03, 2018PECOS Enrolled

91.18/100

CMS Quality Rating

707 E MARSHALL AVE, LONGVIEW, TX 75601(903) 315-4880(903) 315-2833 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Sep 25, 2019, Jul 3, 2018 (3 updates tracked since 2018).

On this page

About Audrey J Sanders NPPES

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

AUDREY J SANDERS (NPI 1770079774) is an individual physician assistant in Longview, Texas, licensed in Texas (PA20376) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770079774

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUDREY J SANDERS

Location Address707 E MARSHALL AVELongview, TX 75601-5545

Mailing Address1500 N Ritter AveIndianapolis, IN 46219-3027

Phone(903) 315-4880

Fax(903) 315-2833

Sole ProprietorNo

Enumeration DateJuly 3, 2018

Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1770079774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA20376

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10002529A (IN), 4789 (OK)

707 E MARSHALL AVE, Longview, TX 75601

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Secondary Practice Locations 4

Location 1700 E Marshall AveLongview, TX 75601-5580 · Phone (903) 315-2000

Location 21500 N Ritter AveIndianapolis, IN 46219 · Phone (317) 355-5041

Location 3518 E Lakeview RdStillwater, OK 74075-2825 · Phone (405) 533-8990

Location 4650 W Carmel Dr Ste 110Carmel, IN 46032-2502 · Phone (317) 595-5698

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey J Sanders is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

34 services33 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services32 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75601 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

79.27

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MRS. JESSICA DENISE MODISETTE APRN

Nurse Practitioner (Acute Care)