MS. SANDRA K HEADRICK A.P.R.N.
NPI 1891786414
Nurse Practitioner - Family in Rolla, MO

Q: What is Sandra Headrick's NPI number?

The NPI number for Sandra Headrick is 1891786414. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Sandra Headrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Headrick was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment

600 BLUES LAKE PKWY, ROLLA, MO 65401(573) 364-5719(573) 364-6493 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Sandra K Headrick A.p.r.n. NPPES

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

MS. SANDRA K HEADRICK A.P.R.N. (NPI 1891786414) is an individual family provider in Rolla, Missouri, licensed in Missouri (128892) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1891786414

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SANDRA K HEADRICKCredential: A.P.R.N.

Location Address600 BLUES LAKE PKWYRolla, MO 65401-8022

Mailing Address1415 W Scenic Rivers BlvdSalem, MO 65560-2840 · (573) 729-5533 · Fax (573) 202-2466

Phone(573) 364-5719

Fax(573) 364-6493

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 2, 2005

Last NPPES UpdateJanuary 13, 2022

NPPES CertifiedJanuary 13, 2022

✔ NPI 1891786414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 128892

600 BLUES LAKE PKWY, Rolla, MO 65401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Ms. Sandra K Headrick A.p.r.n. 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 ID8426138421

PECOS Enrollment IDI20080103000308

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.

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Salem Memorial District Hospital

Critical Access Hospitals · Salem, MO

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261318

LocationPO Box 774,Salem, MO 65560 · Dent County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers22 claims52 services$6.02 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers14 claims22 services$1.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers16 claims16 services$18.66 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims34 services$109.00 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers23 claims2,280 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers26 claims26 services$24.99 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 20

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

REBECCA LYNN FRYER GORDON DO

Family Medicine