Active NPI
Amanda L Sanford, NP
- Family Nurse Practitioner
- New Bremen, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0031634
- Practice address
- 03920 Southland Rd
New Bremen, OH 45869-9790 - Phone
- (419) 629-2772
- Fax
- (419) 629-3613
- NPI assigned
- Jun 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0031634 | OH | Primary |
Addresses
Primary practice location
03920 Southland Rd
New Bremen, OH 45869-9790
Mailing address
830 W Main St
Coldwater, OH 45828-1626
Phone (419) 678-5271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- University of Cincinnati College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
03920 Southland Rd
New Bremen, OH 45869-9790
Phone (419) 629-2772
950 S Main St
Celina, OH 45822-2413
Phone (419) 586-1611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0031634 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Diagnostic Pathology, LLC | Current | Accepting new patients | |
| M E D F Physicians Corporation | Current | Accepting new patients | |
| Mercer County Joint Township Community Hospital | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
950 S Main St
Ste 10
Celina, OH 45822
Phone (419) 586-1118
950 S Main St
Celina, OH 45822
Phone (419) 586-1611
950 S Main St
Ste 3
Celina, OH 45822
Phone (419) 586-3017
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
830 W Main St
Coldwater, OH 45828
Phone (419) 678-5271
03920 Southland Rd
New Bremen, OH 45869
Phone (419) 629-2772
Interoperability endpoints
- asanford663017@direct.osumc.edu
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.
-
- Family Medicine Physician
- Coldwater, OH
- NPI 1417992710
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
- Anatomic Pathology & Clinical Pathology Physician
- Coldwater, OH
- NPI 1366639197
-
- Durable Medical Equipment & Medical Supplies
- Coldwater, OH
- NPI 1609963198
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1427787498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W MAIN ST",
"city": "COLDWATER",
"state": "OH",
"postal_code": "458281626",
"telephone_number": "419-678-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "03920 SOUTHLAND RD",
"city": "NEW BREMEN",
"state": "OH",
"postal_code": "458699790",
"telephone_number": "419-629-2772",
"fax_number": "419-629-3613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0031634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bremen, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.