SANDRA MEDAKOVICH NP
NPI 1811403876
Nurse Practitioner in Worcester, MA

Q: What is Sandra Medakovich's NPI number?

The NPI number for Sandra Medakovich is 1811403876. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Q: What is Sandra Medakovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Medakovich was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 December 28, 2017PECOS Enrolled

366 SHREWSBURY ST, WORCESTER, MA 01604(508) 368-7890(508) 796-8111 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2022, Jun 18, 2021, May 24, 2021 and 1 more (4 updates tracked since 2017).

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About Sandra Medakovich Np NPPES

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

SANDRA MEDAKOVICH NP (NPI 1811403876) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2303850) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811403876

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA MEDAKOVICHCredential: NP

Location Address366 SHREWSBURY STWorcester, MA 01604-4647

Mailing Address366 Shrewsbury StWorcester, MA 01604-4647 · (508) 368-7890 · Fax (508) 796-8111

Phone(508) 368-7890

Fax(508) 796-8111

Sole ProprietorYes

Enumeration DateDecember 28, 2017

Last NPPES UpdateJuly 20, 20224 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1811403876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MA · RN2303850✔ Licensed in HI · APRN-3475✔ Licensed in IL · 209.023232✔ Licensed in WA · AP61055169

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 345737 (NY)

366 SHREWSBURY ST, Worcester, MA 01604

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Medakovich Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Medakovich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reliant Medical Group, Inc

2.3 mi

Family Medicine

5 NEPONSET ST
Worcester, MA 01606

Reassigned Medicare billing, Massachusetts enrollment
718 clinicians in this Medicare group

NPI 1720017528 (508) 852-0600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01604 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

ALYSSA WIDEN RN MSN

Registered Nurse