Individual provider Active NPI

Sandra Marie Rizzo, CRNP

  • Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1396351664
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32246 Issued in SC
Practice address
146 E Hospital Dr
West Columbia, SC 29169-4800
Phone
(803) 739-3660
Fax
(803) 739-3663
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X R238737 MD
Family Nurse Practitioner 363LF0000X R238737 MD
Nurse Practitioner 363L00000X 32246 SC Primary

Addresses

Primary practice location

146 E Hospital Dr
West Columbia, SC 29169-4800

Mailing address

77 Thomas Johnson Dr Ste K
Frederick, MD 21702-4893
Phone (301) 662-4868

Other practice location 1

77 Thomas Johnson Dr Ste K
Frederick, MD 21702-4893
Phone (301) 662-4868 ext. 307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726000296 MD Practitioner - Nurse Practitioner 5890198121 Reassigns benefits to 3 organizations
I20241218000959 DC Practitioner - Nurse Practitioner 5890198121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990

1311 Londontown Blvd
Suite 130
Eldersburg, MD 21784-6556
Phone (410) 549-7222

1505 E Churchville Rd
Bel Air, MD 21014-4742

2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990

504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452

9122 Hinks LN
Frederick, MD 21704-7005
Phone (240) 341-2654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R238737MDMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC Single Specialty Current Accepting new patients
CRH MD Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Cynthia J. Moorman, M.D., P.a. Single Specialty CurrentSince Jan 10, 2022 Accepting new patients
MNR Industries, LLC Single Specialty Current Accepting new patients
MNR Industries, LLC Single Specialty Current Accepting new patients
MNR Industries, LLC CurrentSince Dec 1, 2024 Accepting new patients
MNR Industries, LLC CurrentSince Dec 1, 2024 Accepting new patients
CRH MD Management LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
MNR Industries LLC CurrentSince Dec 1, 2024 Accepting new patients
Statcare Group LLC CurrentSince Apr 16, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

85 Stewart Dr
Edgewater, MD 21037
Phone (410) 870-5094

77 Thomas Johnson Dr
Ste K
Frederick, MD 21702
Phone (301) 662-4868

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

Organizations & group practices 11

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1396351664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE K",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-662-4868",
            "fax_number": "833-989-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-739-3660",
            "fax_number": "803-739-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Thomas Johnson Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024893",
            "country_code": "US",
            "telephone_number": "301-662-4868 x307",
            "fax_number": "301-662-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": "R238737",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R238737",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.