SANDRA DEE PETMECKY MSN, FNP-BC
NPI 1972393197
Nurse Practitioner - Family in Torrance, CA

Q: What is Sandra Petmecky's NPI number?

The NPI number for Sandra Petmecky is 1972393197. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Q: What is Sandra Petmecky'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 Petmecky was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 09, 2025PECOS EnrolledAccepts Medicare Assignment

19500 NORMANDIE AVE, TORRANCE, CA 90502(512) 653-5598 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 4, 2025, May 9, 2025 (2 updates tracked since 2025).

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About Sandra Dee Petmecky Msn, Fnp-bc NPPES

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

SANDRA DEE PETMECKY MSN, FNP-BC (NPI 1972393197) is an individual family provider in Torrance, California, licensed in California (95036443) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972393197

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSANDRA DEE PETMECKYCredential: MSN, FNP-BC

Location Address19500 NORMANDIE AVETorrance, CA 90502-1108

Mailing Address6280 W 3rd St Apt 436Los Angeles, CA 90036-3194 · (512) 653-5598

Phone(512) 653-5598

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 9, 2025

Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1972393197 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 CA · 95036443

19500 NORMANDIE AVE, Torrance, CA 90502

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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 Dee Petmecky Msn, Fnp-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 ID8325535552

PECOS Enrollment IDI20251013002338

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90502 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 9

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

ELIZABETH BRADLEY

Nurse Practitioner