Individual provider Active NPI

Rachel Leigh Sanders, FNP-BC

  • Family Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1306384029
Registry record updated Jan 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133148 Issued in TX
Practice address
1611 Anne St NW
Bemidji, MN 56601-5114
Phone
(218) 333-5880
NPI assigned
Feb 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2023

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 AP133148 TX Primary

Addresses

Primary practice location

1611 Anne St NW
Bemidji, MN 56601-5114

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

3710 E US Highway 377
Suite 116
Granbury, TX 76049-7615
Phone (817) 408-3197

Other practice location 2

1900 Mistletoe Blvd Ste 100
Fort Worth, TX 76104
Phone (817) 338-1300

Other practice location 3

1900 Mistletoe Blvd Ste 100
Fort Worth, TX 76104
Phone (817) 338-1300

Other practice location 4

3801 E US Highway 377 Ste 100
Granbury, TX 76049-7620
Phone (817) 573-1380

Other identifiers 2

IdentifierTypeStateIssuer
370682201MedicaidTX
370682207MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rachel.walder.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170518000139 TX Practitioner - Nurse Practitioner 5092082396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, shared by 5 NPIs, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

3801 E US Hwy 377
Granbury, TX 76049-7620
Phone (817) 408-3197

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP133148TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Longhorn Emergency Medical Associates PA CurrentSince Oct 1, 2017 Accepting new patients
Fort Worth Heart, P.a. CurrentSince Feb 1, 2019 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

6100 Harris Pkwy
Ste 1230
Fort Worth, TX 76132

1900 Mistletoe Blvd
Ste 100
Ft Worth, TX 76104
Phone 8173381300236

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1312 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-1855

Interoperability endpoints

  • Direct secure messaging: rachel.walder.1@1293.direct.athenahealth.com
  • Direct secure messaging: rachel.sanders.1@1293.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673654400000",
    "number": "1306384029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015114",
            "telephone_number": "218-333-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3710 E US Highway 377",
            "address_2": "Suite 116",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760497615",
            "country_code": "US",
            "telephone_number": "817-408-3197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Mistletoe Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76104",
            "country_code": "US",
            "telephone_number": "817-338-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Mistletoe Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76104",
            "country_code": "US",
            "telephone_number": "817-338-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 E US Highway 377 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760497620",
            "country_code": "US",
            "telephone_number": "817-573-1380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "RACHEL",
        "middle_name": "LEIGH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370682201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370682207",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rachel.walder.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "3801 E US Highway 377 Ste 100",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760497620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.