Individual provider Active NPI

Sandra L Parks, MD

  • Family Medicine Physician
  • Beatrice, NE
National Provider Identifier
1679560700
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20911 Issued in NE
Practice address
1123 N 10TH St
Beatrice, NE 68310-2001
Phone
(402) 228-4295
Fax
(402) 228-3702
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20911 NE Primary

Addresses

Primary practice location

1123 N 10TH St
Beatrice, NE 68310-2001

Mailing address

1123 N 10TH St
Beatrice, NE 68310-2001
Phone (402) 228-4295

Other identifiers 1

IdentifierTypeStateIssuer
47083307200MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000916 NE Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Pediatric Medicine 1850421348 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Beatrice, NE

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology, Pediatric Medicine
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 278
Beatrice, NE 68310-0278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20911NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beatrice Community Hospital & Health Center Inc CurrentSince Oct 1, 2017 Accepting new patients
Sandra L. Parks, M.D., LLC PastSince Aug 15, 2000 Accepting new patients

Locations

4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 4

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679560700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001",
            "telephone_number": "402-228-4295",
            "fax_number": "402-228-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N 10TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102001",
            "telephone_number": "402-228-4295",
            "fax_number": "402-228-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "SANDRA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47083307200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.