SANDRA L MCCORMICK FNP NPI 1942264718

NPI Information

  • NPI: 1942264718
  • Provider Name: SANDRA L MCCORMICK, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19550 E 39TH ST S
    SUITE 245
    INDEPENDENCE, MO
    ZIP 64057
  • Phone: (816) 373-0655

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NPI Details

Sandra L Mccormick, FNP is a family nurse practitioner in Independence, MO with 31 years of experience. Sandra L Mccormick, FNP NPI is 1942264718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19550 E 39TH ST S
SUITE 245
INDEPENDENCE, MO
ZIP 64057-358
Phone: (816) 373-0655
Fax: (816) 478-6374

The NPI 1942264718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 4/17/2006 and was last updated on 1/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily069917MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200608400AMEDICAIDKANSAS
234655011OTHERBCBS
334655021OTHERBCBS
4595956202MEDICAIDMISSOURI
5540568508MEDICAIDMISSOURI
6595985805MEDICAIDMISSOURI
7010568509MEDICAIDMISSOURI
8595956400MEDICAIDMISSOURI
9599225901MEDICAIDMISSOURI
10595956103MEDICAIDMISSOURI
1134655041OTHERBCBS
12427629407MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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