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KARA SANDERSON
NPI 1932471927
Nurse Practitioner - Family in Middletown, CT

Active since February 06, 2012PECOS EnrolledAccepts Medicare Assignment
512 SAYBROOK RD, MIDDLETOWN, CT 06457(860) 794-6264(860) 894-1893 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 9, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Kara Sanderson NPPES

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

KARA SANDERSON (NPI 1932471927) is an individual family provider in Middletown, Connecticut, licensed in Connecticut (4809) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1932471927
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKARA SANDERSON
Location Address512 SAYBROOK RDMiddletown, CT 06457-4788
Mailing Address512 Saybrook RdMiddletown, CT 06457-4788
Phone(860) 794-6264
Fax(860) 894-1893
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 6, 2012
Last NPPES UpdateMay 9, 20252 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1932471927 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
License✔ Licensed in CT · 4809
Also ListedNurse PractitionerTaxonomy 363L00000X · License 004809 (CT)
512 SAYBROOK RD, Middletown, CT 06457
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kara Sanderson 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 ID941469654
PECOS Enrollment IDI20120315000098
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

2

Medicare enrollment records show Kara Sanderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Connecticut Neurosurgery And Spine LLC
12 mi
Neurological Surgery
1 LIBERTY SQ FL 1
New Britain, CT 06051
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1669653283 (860) 225-1227
Orthopaedic & Neurosurgery Specialists, PLLC
63 mi
Orthopaedic Surgery
6 GREENWICH OFFICE PARK
Greenwich, CT 06831
  • Reassigned Medicare billing, Connecticut enrollment
  • 139 clinicians in this Medicare group
NPI 1033318720 (203) 869-1145

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

Areas of Expertise CMS Part B claims 3

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.
103 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

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.

DR. MARY E POWELL ST LOUIS MD
Physical Medicine & Rehabilitation
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636
DR. MICHAEL A KUHN MD
Orthopaedic Surgery (Sports Medicine)
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636
MATTHEW JOSEPH SOBOLEWSKI PA-C
Physician Assistant (Surgical)
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636
MR. KEVIN R HUBER PHYSICAL THERAPIST
Physical Therapist
512 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5997
MICHAEL DENNIS KNAPP PTA
Clinic/Center (Physical Therapy)
512 SAYBROOK RD
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 343-5997
ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC
Orthopaedic Surgery
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636
KERI ANN KLINK PA-C
Physician Assistant (Surgical)
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636
MR. THOMAS E GORSKY PA
Physician Assistant
512 SAYBROOK RD, SUITE 100
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-7636

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 Kara Sanderson's NPI number?

The NPI number for Kara Sanderson is 1932471927. It was assigned to this individual provider in the NPPES registry on February 6, 2012.

Where is Kara Sanderson located?

Kara Sanderson practices at 512 Saybrook Rd, Middletown, CT 06457. The listed phone number is (860) 794-6264.

What is Kara Sanderson's specialty?

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

Is Kara Sanderson enrolled in Medicare?

Yes. Kara Sanderson 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 Kara Sanderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kara Sanderson reassigns Medicare benefits to 2 organizations: Central Connecticut Neurosurgery And Spine LLC (New Britain, CT) and Orthopaedic & Neurosurgery Specialists, PLLC (Greenwich, CT). 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 Kara Sanderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kara Sanderson accept?

Health plans from Anthem Blue Cross and Blue Shield list Kara Sanderson 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.

When was this NPI record last updated?

The NPPES record for Kara Sanderson was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.