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SANDRA JACQUELINE LANDIVAR
NPI 1881298156
Nurse Practitioner - Adult Health in Stamford, CT

Active since November 26, 2020PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
170 WASHINGTON BLVD, STAMFORD, CT 06902(203) 276-2472(203) 276-4594 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Nov 26, 2020 (2 updates tracked since 2020).

About Sandra Jacqueline Landivar NPPES

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

SANDRA JACQUELINE LANDIVAR (NPI 1881298156) is an individual adult health provider in Stamford, Connecticut, licensed in Connecticut (10436) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881298156
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSANDRA JACQUELINE LANDIVAR
Location Address170 WASHINGTON BLVDStamford, CT 06902-8904
Mailing Address170 Washington BlvdStamford, CT 06902-8904 · (203) 276-2472 · Fax (203) 276-4594
Phone(203) 276-2472
Fax(203) 276-4594
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 26, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1881298156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CT · 10436
170 WASHINGTON BLVD, Stamford, CT 06902
Open in Google Maps ↗

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

Sandra Jacqueline Landivar 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 ID1759798390
PECOS Enrollment IDI20240607003101
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

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 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06902 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
5 suppliers33 claims16,080 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers156 claims23,340 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier49 claims15,450 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers85 claims16,410 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,260 services$0.94 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers16 claims813 services$2.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ROMULO V VASQUEZ MD
Family Medicine
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-2472
ALLISON SPAULDING APRN, FNP-C
Nurse Practitioner (Family)
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 276-8575
DR. SHEREEN MAY ANSAY VILLAMOR D.O.
Obstetrics & Gynecology
170 WASHINGTON BLVD
STAMFORD, CT 06902
Western Connecticut Planning Region (203) 637-3337

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 Landivar's NPI number?

The NPI number for Sandra Landivar is 1881298156. It was assigned to this individual provider in the NPPES registry on November 26, 2020.

Where is Sandra Landivar located?

Sandra Landivar practices at 170 Washington Blvd, Stamford, CT 06902. The listed phone number is (203) 276-2472.

What is Sandra Landivar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sandra Landivar enrolled in Medicare?

Yes. Sandra Landivar 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 Landivar was last updated on June 28, 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.