SANDRA KAY MARSHALL
NPI 1992438998
Nurse Practitioner - Family in North Wilkesboro, NC

Active since July 07, 2022PECOS EnrolledAccepts Medicare Assignment
86.67/100
CMS Quality Rating
1103 W D ST, NORTH WILKESBORO, NC 28659(336) 883-0029(336) 863-1938 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Jul 19, 2024, Jun 25, 2024 and 5 more (8 updates tracked since 2022).

About Sandra Kay Marshall NPPES

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

SANDRA KAY MARSHALL (NPI 1992438998) is an individual family provider in North Wilkesboro, North Carolina, licensed in North Carolina (5016823) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Wilkes Regional Medical Center, and maintains a secondary practice location in Mount Airy.

NPPES Registry Identity

NPI1992438998
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA KAY MARSHALL
Location Address1103 W D STNorth Wilkesboro, NC 28659-4141
Mailing Address645 N Main StHigh Point, NC 27260-5017 · (336) 967-0846
Fax(336) 863-1938
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2022
Last NPPES UpdateAugust 12, 20258 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1992438998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5016823
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 5016823 (NC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5016823 (NC)
1103 W D ST, North Wilkesboro, NC 28659

Other Names 1

Former Name (1)Sandra Kay Johnson Np

Secondary Practice Location 1

Location 11908 Caudle Dr Ste 100Mount Airy, NC 27030-4322 · Phone (336) 883-0029

Other Identifiers 1

Other5016823NC · Nc Board Of Nursing

Accepted 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

Sandra Kay Marshall 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 ID2365827862
PECOS Enrollment IDI20220920002030
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 32

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.
439 services146 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
345 services110 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
188 services129 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
177 services101 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
176 services124 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
173 services122 patients

Hospital Affiliations CMS Care Compare

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

Wilkes Regional Medical Center

Acute Care Hospitals · North Wilkesboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340064
Location1370 West D StNorth Wilkesboro, NC 28659 · Wilkes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28659 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

86.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.31
Promoting Interoperability95
Improvement Activities40
Cost73.78

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.

Nurse Practitioner (Family)
1103 W D ST
NORTH WILKESBORO, NC 28659
Physician Assistant
1103 W D ST
NORTH WILKESBORO, NC 28659
Anesthesiology (Pain Medicine)
1103 W D ST
NORTH WILKESBORO, NC 28659

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 Marshall's NPI number?

The NPI number for Sandra Marshall is 1992438998. It was assigned to this individual provider in the NPPES registry on July 7, 2022. The provider is also known as Sandra Kay Johnson Np.

Where is Sandra Marshall located?

Sandra Marshall practices at 1103 W D St, North Wilkesboro, NC 28659. The listed phone number is (336) 883-0029.

What is Sandra Marshall's specialty?

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

Is Sandra Marshall enrolled in Medicare?

Yes. Sandra Marshall 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.

What insurance does Sandra Marshall accept?

Health plans from Blue Cross and Blue Shield of NC list Sandra Marshall 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.

Is Sandra Marshall affiliated with any hospitals?

According to CMS data, Sandra Marshall is affiliated with Wilkes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sandra Marshall was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.