Individual provider Active NPI

Tina Sanders

  • Family Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1285173963
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106825 Issued in WV
Practice address
106 Thorn St
Princeton, WV 24740-3560
Phone
(304) 314-7500
Fax
(304) 936-6156
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 106825 WV Primary

Addresses

Primary practice location

106 Thorn St
Princeton, WV 24740-3560

Mailing address

3997 Beckley Rd
Princeton, WV 24740-7660
Phone (304) 431-5499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922002892 WV Practitioner - Nurse Practitioner 8527486604 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
West Virginia University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Health Association, Inc.Group PAC ID 3577505221, shared by 7 NPIs, 38 clinicians

Practice addresses (Care Compare)

106 Thorn St
Princeton, WV 24740-3560
Phone (681) 282-5609

154 Majestic PL
Bluefield, WV 24701-9170
Phone (304) 409-6720

324 Oakvale Rd
Suite 12
Princeton, WV 24740-3829
Phone (681) 282-5576

701 Bland St
Bluefield, WV 24701-3503
Phone (304) 800-5413

Hospital & facility affiliations

  • PCH Home Health Home health agency, Princeton, WV, CCN 517081
  • Centerwell Home Health Home health agency, Beckley, WV, CCN 517125
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106825WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Health Association, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Bluestone Health Association, Inc. Current Accepting new patients
Bluestone Health Association, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Bluestone Health Association, Inc. CurrentSince Aug 17, 2020 Accepting new patients

Locations

154 Majestic Pl
Bluefield, WV 24701
Phone (304) 409-6720

3016 E Cumberland Rd
Bluefield, WV 24701
Phone (304) 431-5499

701 Bland St
Bluefield, WV 24701
Phone (304) 800-5413

200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541

3997 Beckley Rd
Princeton, WV 24740
Phone (304) 431-5499

106 Thorn St
Princeton, WV 24740
Phone (304) 314-7501

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1285173963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 BECKLEY RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247407660",
            "telephone_number": "304-431-5499",
            "fax_number": "304-431-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403560",
            "telephone_number": "304-314-7500",
            "fax_number": "304-936-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.