SANDRA AFRIFAH (FNP) – Family Nurse Practitioner, NPI 1356799282

SANDRA AFRIFAH (FNP) is a healthcare provider. based in Homewood, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. SP016145 (PA). The NPI Number for SANDRA AFRIFAH (FNP) is 1356799282

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA AFRIFAH (FNP)
NPI
1356799282
Phone
(773) 834-6254
Address
17805 HALSTED ST
Enumeration Date
1 June 2016
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083332300
Graduation Year
2015 (11 years ago)
PAC ID
3577857523
Group Practice PAC ID
4688635337
Professional Enrollment ID
I20211223000224
Address ID
IL604263558HA1XXXXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:10State licenses:6Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for SANDRA AFRIFAH (FNP)

  • 17805 HALSTED ST

    HOMEWOOD, IL 604302011

    Phone: (773) 834-6254

    Fax: (773) 834-6259

    Type: Location

  • Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States

    CHARLOTTE, NC 282751649

    Phone: (843) 789-1620

    Fax: (843) 724-2440

    Type: Mailing

  • Ladson Road, Ladson, North Charleston, Charleston County, South Carolina, 29456, United States

    LADSON, SC 294565452

    Phone: (843) 203-2240

    Fax: (843) 203-2241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211223000224INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3227$0
View full utilization report →

Insurance plans in this area (ZIP 60430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688635337View full group profile
NameSpecialtyState
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
P S Y C H I A T R YIL
Internal MedicineIL
Hematology/Oncology, Internal MedicineIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL

Reviews

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Frequently asked questions

Does SANDRA AFRIFAH (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SANDRA AFRIFAH (FNP) uses 1356799282.
Does the file indicate SANDRA AFRIFAH (FNP) is practicing under active NPI?
Directory data currently reports SANDRA AFRIFAH (FNP) as active.
What healthcare role does SANDRA AFRIFAH (FNP) hold?
Scheduling teams often label SANDRA AFRIFAH (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is SANDRA AFRIFAH (FNP) based?
SANDRA AFRIFAH (FNP) is tied to Homewood, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about SANDRA AFRIFAH (FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."