Individual provider Active NPI

Jennifer Morgan Sanders, AU.D., CCC-A, FAAA

  • Audiologist
  • Newburgh, IN
National Provider Identifier
1003167479
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002522A Issued in IN
Practice address
4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone
(812) 425-2646
Fax
(812) 467-7209
NPI assigned
Sep 26, 2012
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23002522A IN Primary

Addresses

Primary practice location

4015 Gateway Blvd
Newburgh, IN 47630-8925

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 425-2646

Other identifiers 1

IdentifierTypeStateIssuer
201115930MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130103000342 IN Practitioner - Qualified Audiologist 0244483063 Reassigns benefits to 1 organization
I20200310002028 KY Practitioner - Qualified Audiologist 0244483063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Leider MD PLLCGroup PAC ID 0941469621, 19 clinicians
Onhealthcare LLCGroup PAC ID 8527221480, 29 clinicians

Practice addresses (Care Compare)

35 Augusta Ave
Ft Wright, KY 41011-3603
Phone 24852821166

8425 Woodfield Crossing Blvd
Suite 100
Indianapolis, IN 46240-7316
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23002522AINMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Leider MD PLLC CurrentSince Jan 11, 2020 Accepting new patients
Onhealthcare LLC CurrentSince Oct 17, 2019 Accepting new patients
Onhealthcare, LLC Current Accepting new patients
Onhealthcare, LLC Audiologist CurrentSince Oct 17, 2019 Accepting new patients
Jeffrey Leider MD PLLC Audiologist CurrentSince Jan 11, 2020 Accepting new patients
Onhealthcare LLC Past Accepting new patients

Locations

8425 Woodfield Crossing Blvd
Ste 100
Indianapolis, IN 46240
Phone (317) 554-0555

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

Interoperability endpoints

  • Direct secure messaging: jennifer.sanders.p1@direct.360care.nextgenshare.com
  • Direct secure messaging: jennifer.sanders.p4@direct.360care.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1003167479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-425-2646",
            "fax_number": "812-467-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308925",
            "telephone_number": "812-425-2646",
            "fax_number": "812-467-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JENNIFER",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "AU.D., CCC-A, FAAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002522A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.