Active NPI
Sandi Pino, MSN, CRNP, AGPCNP-BC
- Gerontology Nurse Practitioner
- Plymouth Meeting, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP020359
- Practice address
- 2250 Hickory Rd Ste 140
Plymouth Meeting, PA 19462-1047 - Phone
- (610) 379-2904
- Fax
- (610) 840-0528
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP020359 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP020359 | PA | |
| Gerontology Nurse Practitioner | 363LG0600X | SP020359 | PA | Primary |
Addresses
Primary practice location
2250 Hickory Rd Ste 140
Plymouth Meeting, PA 19462-1047
Mailing address
PO Box 37492
Belfast, ME 04915-1216
Phone (610) 379-2904
Other practice location 1
20320 Northwest Fwy Ste 400A
Jersey Village, TX 77065-5620
Phone (346) 345-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2250 Hickory Rd
Suite 140
Plymouth Meeting, PA 19462-1047
Phone (610) 379-2904
9501 State Rd
Philadelphia, PA 19114-3053
Phone (215) 632-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020359 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Medical Services LLC | Current | Accepting new patients | |
| Restore First Health Penn | Current | Accepting new patients | |
| Kane Wound Care LLC | Current | Accepting new patients | |
| Medical Director Services PC | Current | Accepting new patients | |
| Tandigm Care Solutions, LLC | Past | Accepting new patients |
Locations
3626 US Highway 1
Princeton, NJ 08540
Phone (609) 243-0445
743 Mahoning St
Milton, PA 17847
Phone (570) 742-2681
1427 Horsham Rd
North Wales, PA 19454
Phone (215) 277-7132
1425 Horsham Rd
North Wales, PA 19454
Phone (215) 284-5398
9501 State Rd
Philadelphia, PA 19114
Phone (215) 632-5700
2250 Hickory Rd
Ste 140
Plymouth Mtng, PA 19462
Phone (610) 379-2904
8601 Stenton Ave
Wyndmoor, PA 19038
Phone (215) 233-6200
20320 Northwest Fwy
Ste 400A
Jersey Village, TX 77065
Phone (281) 397-0777
Interoperability endpoints
- sandi.pino.1@28696.direct.athenahealth.com
- sandiann.pino.p1@direct.tandigmhealth.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Plymouth Meeting, PA
- NPI 1437929304
-
dba d/b/a Princeton Wound Care Center
- Internal Medicine Physician
- Princeton, NJ
- NPI 1275869802
PA
-
- Geriatric Medicine (Internal Medicine) Physician
- North Wales, PA
- NPI 1649926049
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
PA
-
- Internal Medicine Physician
- Conshohocken, PA
- NPI 1225484090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1043877897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37492",
"city": "BELFAST",
"state": "ME",
"postal_code": "049151216",
"telephone_number": "610-379-2904",
"fax_number": "610-840-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 HICKORY RD STE 140",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621047",
"telephone_number": "610-379-2904",
"fax_number": "610-840-0528"
}
],
"practiceLocations": [
{
"address_1": "20320 Northwest Fwy Ste 400A",
"address_purpose": "LOCATION",
"city": "Jersey Village",
"state": "TX",
"postal_code": "770655620",
"country_code": "US",
"telephone_number": "346-345-2092",
"fax_number": "281-883-4395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINO",
"first_name": "SANDI",
"credential": "MSN, CRNP, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP020359",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "PA",
"license": "SP020359",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP020359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth Meeting, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.