Individual provider Active NPI

Amanda L Sanford, NP

  • Family Nurse Practitioner
  • New Bremen, OH
National Provider Identifier
1427787498
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0031634 Issued in OH
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

Updated by the provider on Oct 14, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027002778 OH Practitioner - Nurse Practitioner 3072980416 Reassigns benefits to 2 organizations

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
M E D F Physicians CorporationGroup PAC ID 9133109903, 47 clinicians

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

LicenseStateTypeSpecialty
APRN.CNP.0031634OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital CurrentSince May 1, 2023 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
M E D F Physicians Corporation CurrentSince Nov 1, 2022 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.