Teri Jo Sanford, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11022547 Issued in FL

Practice address

24231 Walden Center Dr Ste 201
Estero, FL 34134-5012

Phone

(239) 348-4221

Fax

(239) 390-2486

NPI assigned

Apr 1, 2021

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

88.8 of 100Reported as apm

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
• Direct secure messaging: teri.sanford.2@4692.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collier Hma Physician Management LLC

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1245282979

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Collier Boulevard Hma Physician Management LLC

  • Family Medicine Physician
  • Naples, FL
  • NPI 1508098344

  Single Specialty

  Medicare reassignment NPD
• Collier Hma Physician Management LLC

  dba Physicians Regional Medical Group

  • Optometrist
  • Naples, FL
  • NPI 1962713248
  NPD
• Danville Physician Practices LLC

  • Diagnostic Radiology Physician
  • Danville, VA
  • NPI 1265243612

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regiona Medical Center-Collier

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1215003348
  Care Compare affiliation
• Naples Hma LLC

  dba Physicians Regional Medical Center-Pine Ridge

  • General Acute Care Hospital
  • Naples, FL
  • NPI 1316992134
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1790363372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-348-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24231 WALDEN CENTER DR STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341345012",
            "telephone_number": "239-348-4221",
            "fax_number": "239-390-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "TERI",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022547",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9559110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Shea Sammons, D.M.D.
• Frances Sanchez-Duverge, PSYD
• Carlos Sanchez, OD
• Prabhjot Sandhu
• Cristina Sandu, APRN
• Carlis Chanelle Santiago, DDS
• Sara Sardano, DMD
• Rachelle M Sawyer, PMHNP
• Kimberly A Schafer, L.C.S.W.
• Ellen T Scherr, LCPC, LMHC

• Family Nurse Practitioner in Estero, FL
• Providers in Estero, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.