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MRS. SANDY M ANDERSON APRN-BC
NPI 1871685792
Nurse Practitioner - Family in Dayton, OH

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
7271 N MAIN ST STE 2, DAYTON, OH 45415(937) 991-0082(937) 991-0089 Get Directions Write a Review

NPPES record last updated: March 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2023, Jul 21, 2022, Nov 22, 2020 and 1 more (4 updates tracked since 2017).

About Mrs. Sandy M Anderson Aprn-bc NPPES

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

MRS. SANDY M ANDERSON APRN-BC (NPI 1871685792) is an individual family provider in Dayton, Ohio, licensed in Ohio (RN.254376-COA1) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2001).

NPPES Registry Identity

NPI1871685792
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SANDY M ANDERSONCredential: APRN-BC
Location Address7271 N MAIN ST STE 2Dayton, OH 45415-2561
Mailing Address7271 N Main St Ste 2Dayton, OH 45415-2561 · (937) 991-0082 · Fax (379) 910-0089
Phone(937) 991-0082
Fax(937) 991-0089
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2001
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 17, 20244 updates tracked since enumeration
NPPES CertifiedMarch 17, 2024
✔ NPI 1871685792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · RN.254376-COA1
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License RN.254376-C0A1 (OH)
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X · License RN.254376-C0A1 (OH)
7271 N MAIN ST STE 2, Dayton, OH 45415
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Sandy Marie Gordon Bsn, Ms, Ms, Aprn-bc

Other Identifiers 3

Medicaid2388901OH
Other000000577058OH · Bcbs Ohio
Other9939476OH · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Mrs. Sandy M Anderson Aprn-bc 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 ID3577622513
PECOS Enrollment IDI20081106000183
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.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%63 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
17%107 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
14%42 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%3,914 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%217 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%238 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%405 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%405 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
27%405 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%405 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DE MORGAN WELLNESS GROUP
Nurse Practitioner (Primary Care)
7271 N MAIN ST STE 2
DAYTON, OH 45415
Montgomery County (937) 609-0566

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 Sandy Anderson's NPI number?

The NPI number for Sandy Anderson is 1871685792. It was assigned to this individual provider in the NPPES registry on September 28, 2006. The provider is also known as Mrs. Sandy Marie Gordon Bsn, Ms, Ms, Aprn-Bc.

Where is Sandy Anderson located?

Sandy Anderson practices at 7271 N Main St Ste 2, Dayton, OH 45415. The listed phone number is (937) 991-0082.

What is Sandy Anderson's specialty?

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

Is Sandy Anderson enrolled in Medicare?

Yes. Sandy Anderson 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 Sandy Anderson accept?

Health plans from CareSource and Oscar Health Insurance list Sandy Anderson 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 Sandy Anderson affiliated with any hospitals?

According to CMS data, Sandy Anderson is affiliated with Atrium Medical Center and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Sandy Anderson was last updated on March 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.