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SANDRA DUGGAN FNP-C
NPI 1861869513
Nurse Practitioner - Family in Shepherdsville, KY

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
438 ADAM SHEPHERD PKWY STE 2, SHEPHERDSVILLE, KY 40165(502) 921-4495(502) 921-4499 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Duggan Fnp-c NPPES

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

SANDRA DUGGAN FNP-C (NPI 1861869513) is an individual family provider in Shepherdsville, Kentucky, licensed in Kentucky (4055328) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains a secondary practice location in Hartford City.

NPPES Registry Identity

NPI1861869513
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA DUGGANCredential: FNP-C
Location Address438 ADAM SHEPHERD PKWY STE 2Shepherdsville, KY 40165-6742
Mailing AddressPo Box 776347Chicago, IL 60677-6347 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 921-4495
Fax(502) 921-4499
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 28, 2015
Last NPPES UpdateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1861869513 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
Licenses✔ Licensed in KY · 4055328✔ Licensed in IN · 71005780A
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 28192064A (IN)
438 ADAM SHEPHERD PKWY STE 2, Shepherdsville, KY 40165
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 Pilgrim BlvdHartford City, IN 47348-1382 · Phone (765) 348-5776 · Fax (765) 348-3088

Other Identifiers 3

Other000000994969IN · Anthem
OtherP01635454IN · Rr Medicare
Medicaid201348280IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Sandra Duggan Fnp-c 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 ID7315243052
PECOS Enrollment IDI20260910001074
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 Reassignments

3

Medicare enrollment records show Sandra Duggan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group, LLC
126 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Indiana University Health Ball Memorial Physicians, Inc.
151 mi
Family Medicine
1420 S PILGRIM BLVD
Yorktown, IN 47396
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
NPI 1710206990 (765) 759-4068
Indiana University Health Blackford Hospital Inc
172 mi
Physical Therapist
410 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1265021109 (765) 348-5776

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

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40165 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Duggan's NPI number?

The NPI number for Sandra Duggan is 1861869513. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Sandra Duggan located?

Sandra Duggan practices at 438 Adam Shepherd Pkwy Ste 2, Shepherdsville, KY 40165. The listed phone number is (502) 921-4495.

What is Sandra Duggan's specialty?

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

Is Sandra Duggan enrolled in Medicare?

Yes. Sandra Duggan 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 organizations bill Medicare for Sandra Duggan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Duggan reassigns Medicare benefits to 3 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Indiana University Health Ball Memorial Physicians, Inc. (Yorktown, IN) and Indiana University Health Blackford Hospital Inc (Hartford City, IN). Each 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 Duggan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Duggan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Sandra Duggan 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 Duggan affiliated with any hospitals?

According to CMS data, Sandra Duggan is affiliated with Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Sandra Duggan was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.