SANDRA MAGDALENE HAMILTON FNP
NPI 1811248776
Nurse Practitioner - Family in Mint Hill, NC

Active since October 01, 2012PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
11304 HAWTHORNE DR, STE 100, MINT HILL, NC 28227(704) 545-6400 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2025, Jul 15, 2024, May 4, 2023 and 46 more (49 updates tracked since 2019).

About Sandra Magdalene Hamilton Fnp NPPES

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

SANDRA MAGDALENE HAMILTON FNP (NPI 1811248776) is an individual family provider in Mint Hill, North Carolina, licensed in North Carolina (5011312) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811248776
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA MAGDALENE HAMILTONCredential: FNP
Location Address11304 HAWTHORNE DR, STE 100Mint Hill, NC 28227-9425
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2012
Last NPPES UpdateOctober 7, 202549 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
NPI 1811248776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5011312
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5011312 (NC)
11304 HAWTHORNE DR, Mint Hill, NC 28227

Accepted 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 Magdalene Hamilton Fnp 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 ID5395998181
PECOS Enrollment IDI20190524002385
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 5

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.
128 services97 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.
43 services38 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services11 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28227 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Family Medicine
11304 HAWTHORNE DR, SUITE 100
CHARLOTTE, NC 28227
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Family Medicine
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Surgery (Vascular Surgery)
11304 HAWTHORNE DR, STE 115
MINT HILL, NC 28227
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11304 HAWTHORNE DR, SUITE 115
MINT HILL, NC 28227
Orthopaedic Surgery
11304 HAWTHORNE DR, SUITE 110
MINT HILL, NC 28227
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227
Physician Assistant
11304 HAWTHORNE DR, STE 100
MINT HILL, NC 28227

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 Hamilton's NPI number?

The NPI number for Sandra Hamilton is 1811248776. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Sandra Hamilton located?

Sandra Hamilton practices at 11304 Hawthorne Dr Ste 100, Mint Hill, NC 28227. The listed phone number is (704) 545-6400.

What is Sandra Hamilton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sandra Hamilton enrolled in Medicare?

Yes. Sandra Hamilton 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.

What insurance does Sandra Hamilton accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Sandra Hamilton 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.

Is Sandra Hamilton affiliated with any hospitals?

According to CMS data, Sandra Hamilton is affiliated with Carolinas Medical Center/Behav Health and Atrium Health Union.

When was this NPI record last updated?

The NPPES record for Sandra Hamilton was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.