SANDRA PADDOCK CNP
NPI 1801124565
Nurse Practitioner - Family in Faribault, MN
About Sandra Paddock Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA PADDOCK CNP (NPI 1801124565) is an individual family provider in Faribault, Minnesota, licensed in Minnesota (R 119720-0) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Sandra Paddock 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.
Medicare Billing Reassignment
Medicare enrollment records show Sandra Paddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Faribault, MN 55021
- Reassigned Medicare billing, Minnesota enrollment
- 16 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
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 55021 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARIBAULT, MN 55021
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 Paddock's NPI number?
The NPI number for Sandra Paddock is 1801124565. It was assigned to this individual provider in the NPPES registry on November 18, 2009.
Where is Sandra Paddock located?
Sandra Paddock practices at 1101 Linden Ln, Faribault, MN 55021. The listed phone number is (507) 334-0734.
What is Sandra Paddock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Paddock enrolled in Medicare?
Yes. Sandra Paddock 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 Sandra Paddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Paddock reassigns Medicare benefits to Eye Clinic Of Faribault PA (Faribault, MN). 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 Sandra Paddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Paddock was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sandra Paddock, CNP · NPI 1801124565
Family physician in Faribault, Minnesota. Individual provider, active in the CMS NPPES registry since November 18, 2009.
## Identity
- **NPI:** 1801124565 (Entity type: Individual)
- **Enumerated:** November 18, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 119720-0 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 LINDEN LN, Faribault, MN 55021-6400
- **Phone:** (507) 334-0734
## 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:** Eye Clinic Of Faribault PA (NPI 1831154681, Faribault, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1801124565) · Data from the CMS NPPES public registry.