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DR. SANDRA LEE DECARLO DNP, FNP-C, CWOCN
NPI 1831449099
Nurse Practitioner - Family in Peoria, AZ

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
9139 W THUNDERBIRD RD STE 175, PEORIA, AZ 85381(623) 776-6133(623) 974-3318 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2021, Feb 27, 2018 (2 updates tracked since 2018).

About Dr. Sandra Lee Decarlo Dnp, Fnp-c, Cwocn NPPES

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

DR. SANDRA LEE DECARLO DNP, FNP-C, CWOCN (NPI 1831449099) is an individual family provider in Peoria, Arizona, licensed in Arizona (AP4593) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831449099
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SANDRA LEE DECARLOCredential: DNP, FNP-C, CWOCN
Location Address9139 W THUNDERBIRD RD STE 175Peoria, AZ 85381-4998
Mailing Address9139 W Thunderbird Rd Ste 175Peoria, AZ 85381-4998 · (623) 776-6133 · Fax (623) 974-3318
Phone(623) 776-6133
Fax(623) 974-3318
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
Last NPPES UpdateMarch 10, 20212 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1831449099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP4593
9139 W THUNDERBIRD RD STE 175, Peoria, AZ 85381
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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

Dr. Sandra Lee Decarlo Dnp, Fnp-c, Cwocn 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 ID3274784749
PECOS Enrollment IDI20121108000685
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 4

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.
329 services92 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.
150 services39 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.
69 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers14 claims390 services$3.36 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers11 claims325 services$5.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Decarlo's NPI number?

The NPI number for Sandra Decarlo is 1831449099. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Sandra Decarlo located?

Sandra Decarlo practices at 9139 W Thunderbird Rd Ste 175, Peoria, AZ 85381. The listed phone number is (623) 776-6133.

What is Sandra Decarlo's specialty?

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

Is Sandra Decarlo enrolled in Medicare?

Yes. Sandra Decarlo 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.

When was this NPI record last updated?

The NPPES record for Sandra Decarlo was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.