CONNIE SANDERLIN CRNA
NPI 1861417990
Registered Nurse in Deridder, LA
About Connie Sanderlin Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE SANDERLIN CRNA (NPI 1861417990) is an individual registered nurse in Deridder, Louisiana, licensed in Louisiana (RNO97669) and active in the NPI registry since July 2006. She is affiliated with Willis Knighton Medical Center and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Connie Sanderlin Crna 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 Connie Sanderlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 146 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DERIDDER, LA 70634
DERIDDER, LA 70634
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 Connie Sanderlin's NPI number?
The NPI number for Connie Sanderlin is 1861417990. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Connie Sanderlin located?
Connie Sanderlin practices at 600 South Pine Street, Deridder, LA 70634. The listed phone number is (337) 462-7100.
What is Connie Sanderlin's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Connie Sanderlin enrolled in Medicare?
Yes. Connie Sanderlin 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 Connie Sanderlin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Sanderlin reassigns Medicare benefits to Willis Knighton Medical Center Inc. Crna Group (Shreveport, LA). 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 Connie Sanderlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Sanderlin accept?
Health plans from HMO Louisiana list Connie Sanderlin 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 Connie Sanderlin affiliated with any hospitals?
According to CMS data, Connie Sanderlin is affiliated with Willis Knighton Medical Center.
When was this NPI record last updated?
The NPPES record for Connie Sanderlin was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Connie Sanderlin, CRNA · NPI 1861417990
Registered Nurse provider in Deridder, Louisiana. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1861417990 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** RNO97669 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 SOUTH PINE STREET, Deridder, LA 70634-0730
- **Phone:** (337) 462-7100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Willis Knighton Medical Center Inc. Crna Group (NPI 1174546097, Shreveport, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** March 12, 2009
- **Other identifiers:** Medicaid 1712558 (LA); Medicare PIN 4H899C734 (LA); Medicare PIN P00637259 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1861417990) · Data from the CMS NPPES public registry.