JESSICA ANN SANDER (PA-C) – Physician Assistant, NPI 1477178275
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for JESSICA ANN SANDER (PA-C)
PO BOX 13834
TALLAHASSEE, FL 323173834
Phone:
Type: Mailing
1704 RIGGINS RD
TALLAHASSEE, FL 323085318
Phone: (850) 877-4134
Type: Location
1516 E Evans St
Bainbridge, GA 398194363
Phone: (229) 792-8119
Fax: (850) 402-9130
Type: Location
248 NE Hancock Ave
Madison, FL 323402560
Phone: (850) 877-4134
Fax: (850) 402-9130
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 250 Open Payments records for all available years, with a total value of $9,923.
Total Amount is formed as General ($9,923) + Research ($0) + Ownership ($0) = $9,923.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: UCB, Inc. ($1,061).
Total Amount
$9,923
General + Research + Ownership
Payments
250
Total payment records
General Amount
$9,923
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $1,061 |
| E.R. Squibb & Sons, L.L.C. | $1,061 |
| Arcutis Biotherapeutics, Inc. | $760 |
| GENZYME CORPORATION | $690 |
| ABBVIE INC. | $548 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-09-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200730002710 | I | Physician Assistant | FL | TBD |
| I20200918001924 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 870 | 161 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 311 | 245 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | 192 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 236 | 192 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 193 | $0 |
Insurance plans in this area (ZIP 32317)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| D E R M A T O L O G Y | GA | |
| P A T H O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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