SANDRA AVITIA NP-C
NPI 1871969105
Nurse Practitioner - Primary Care in Saint Louis, MO
About Sandra Avitia Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA AVITIA NP-C (NPI 1871969105) is an individual primary care provider in Saint Louis, Missouri, licensed in Illinois (209013047) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra Avitia Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Avitia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Missouri enrollment
- 412 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST. LOUIS, MO 63103
ST. LOUIS, MO 63103
SAINT LOUIS, MO 63103
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 Avitia's NPI number?
The NPI number for Sandra Avitia is 1871969105. It was assigned to this individual provider in the NPPES registry on August 21, 2015.
Where is Sandra Avitia located?
Sandra Avitia practices at 3200 Chouteau Ave, Saint Louis, MO 63103. The listed phone number is (314) 977-1250.
What is Sandra Avitia's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sandra Avitia enrolled in Medicare?
Yes. Sandra Avitia is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Avitia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Avitia reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Sandra Avitia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sandra Avitia was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Sandra Avitia, NP-C · NPI 1871969105
Primary Care physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since August 21, 2015.
## Identity
- **NPI:** 1871969105 (Entity type: Individual)
- **Enumerated:** August 21, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209013047 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3200 CHOUTEAU AVE, Saint Louis, MO 63103-2910
- **Phone:** (314) 977-1250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1871969105) · Data from the CMS NPPES public registry.