MRS. SANDRA ELDER UTSEY APRN
NPI 1790063592
Nurse Practitioner in Louisville, KY
About Mrs. Sandra Elder Utsey Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SANDRA ELDER UTSEY APRN (NPI 1790063592) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3006888) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 5
Accepted 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
Mrs. Sandra Elder Utsey 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.
Medicare Billing Reassignments
2Medicare enrollment records show Sandra Utsey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40218
- Reassigned Medicare billing, Kentucky enrollment
- 1,896 clinicians in this Medicare group
Louisville, KY 40208
- Reassigned Medicare billing, Kentucky enrollment
- 2,337 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
LOUISVILLE, KY 40219
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 Sandra Utsey's NPI number?
The NPI number for Sandra Utsey is 1790063592. It was assigned to this individual provider in the NPPES registry on July 27, 2011. The provider is also known as Miss Sandra Michelle Elder Rn.
Where is Sandra Utsey located?
Sandra Utsey practices at 7926 Preston Hwy Ste 106, Louisville, KY 40219. The listed phone number is (502) 964-4357.
What is Sandra Utsey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sandra Utsey enrolled in Medicare?
Yes. Sandra Utsey 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 organizations bill Medicare for Sandra Utsey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Utsey reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and University Of Louisville Physicians, Inc. (Louisville, KY). Each 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 Sandra Utsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandra Utsey accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Sandra Utsey 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 Sandra Utsey was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Sandra Elder Utsey, APRN · NPI 1790063592
Nurse Practitioner physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since July 27, 2011.
## Identity
- **NPI:** 1790063592 (Entity type: Individual)
- **Enumerated:** July 27, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 3006888 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 7926 PRESTON HWY STE 106, Louisville, KY 40219-3848
- **Phone:** (502) 964-4357 · **Fax:** (502) 966-5948
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Medical Associates, Inc. (NPI 1386904647, Louisville, KY); University Of Louisville Physicians, Inc. (NPI 1073879755, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** October 13, 2026
- **Other identifiers:** Medicaid 7100183390 (KY); Other 000000726728 (KY); Other 000057121KD (KY); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1790063592) · Data from the CMS NPPES public registry.