Individual provider Active NPI

Sandra Maidwell, PA-C

  • Physician Assistant
  • Estero, FL
National Provider Identifier
1326217746
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105482 Issued in FL
Practice address
8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone
(239) 221-5402
Fax
(833) 411-0515
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105482 FL Primary

Addresses

Primary practice location

8440 Murano del Lago Dr
Estero, FL 34135-8615

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

3530 Kraft Rd Ste 300
Naples, FL 34105-5020
Phone (239) 353-6636

Other practice location 2

9776 Bonita Beach Rd SE Ste 201A
Bonita Springs, FL 34135-4775
Phone (239) 947-3092

Other identifiers 3

IdentifierTypeStateIssuer
006266800MedicaidFL
Y05AQOtherFLBC FLORIDA
PA9105482OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100925000339 FL Practitioner - Physician Assistant 4183701634 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vijay Ganatra M D P aGroup PAC ID 4880727866, 12 clinicians
Primehealth Urgent Care LLCGroup PAC ID 6002240967, 18 clinicians
Dispatchhealth-Florida Inc.Group PAC ID 2668899220, 36 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-1000

5781 Lee Blvd
Lehigh Acres, FL 33971-6337
Phone (239) 230-0185

636 Del Prado Blvd
Cape Coral, FL 33990-2695
Phone (239) 574-2323

8270 College Pkwy
Suite 103
Fort Myers, FL 33919-5106
Phone (303) 904-7240

9981 S Health Park Dr
Fort Myers, FL 33908-3618
Phone (239) 433-7799

Hospital & facility affiliations

  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012320NYMDOccupational Therapist
PA9105482FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primehealth Urgent Care LLC CurrentSince Mar 24, 2024 Accepting new patients
Adventist Health System/Sunbelt Inc. Physician Assistant CurrentSince Dec 4, 2017 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Dec 4, 2017 Accepting new patients
Primehealth Urgent Care LLC CurrentSince Mar 24, 2024 Accepting new patients
Internal Medicine Associates of Lee County Hospitalist Group, LLC Past Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients
Primehealth Urgent Care LLC Past Accepting new patients
Internal Medicine Associates of Lee County MD PA Physician Assistant Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

4647 Manatee Ave W
Bradenton, FL 34209
Phone (941) 745-5999

3018 53rd Ave E
Bradenton, FL 34203
Phone (941) 260-2326

4015 US Highway 301 N
Ellenton, FL 34222
Phone (941) 269-2813

20321 Grande Oak Shoppes Blvd
Ste 308
Estero, FL 33928
Phone (239) 758-0914

5781 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 226-9707

5660 Fishhawk Crossing Blvd
Lithia, FL 33547
Phone (813) 328-6262

8927 US Highway 301 N
#210
Parrish, FL 34219
Phone (941) 845-4621

23951 Peachland Blvd
Ste 1
Port Charlotte, FL 33954
Phone (941) 260-2326

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

5221 Clark Rd
Sarasota, FL 34233
Phone (941) 845-4621

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sandra.maidwell.1@13869.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1326217746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 MURANO DEL LAGO DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358615",
            "telephone_number": "239-221-5402",
            "fax_number": "833-411-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Kraft Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341055020",
            "country_code": "US",
            "telephone_number": "239-353-6636",
            "fax_number": "239-354-1865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9776 Bonita Beach Rd SE Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341354775",
            "country_code": "US",
            "telephone_number": "239-947-3092",
            "fax_number": "239-949-2174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIDWELL",
        "first_name": "SANDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006266800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FLORIDA",
            "identifier": "Y05AQ",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA9105482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.