TERI JO SANFORD (APRN) – Family Nurse Practitioner, NPI 1790363372

TERI JO SANFORD (APRN) is a healthcare provider. based in Pekin, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN9559110 (FL). The NPI Number for TERI JO SANFORD (APRN) is 1790363372

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TERI JO SANFORD (APRN)
NPI
1790363372
Phone
(309) 868-2653
Address
1910 SAINT CLAIR DR
Enumeration Date
1 April 2021
Last Update Date
21 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393902174
Graduation Year
2022 (4 years ago)
PAC ID
1052782802
Group Practice PAC ID
5092840975
Professional Enrollment ID
I20230114000056
Address ID
FL341345012ES24231DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for TERI JO SANFORD (APRN)

  • 1910 SAINT CLAIR DR

    PEKIN, IL 615546335

    Phone: (309) 868-2653

    Type: Mailing

  • 800 PRUDENTIAL DR FL 32207

    JACKSONVILLE, FL 322078202

    Phone: (904) 271-6000

    Type: Location

  • 6101 PINE RIDGE RD

    NAPLES, FL 341193900

    Phone: (239) 348-4000

    Type: Mailing

  • 24231 WALDEN CENTER DR STE 201

    ESTERO, FL 341345012

    Phone: (239) 348-4221

    Fax: (239) 390-2486

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Exact Sciences Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-01-14

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
I20230114000056INurse PractitionerFLTBD

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
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg2,88359$0
J1040Injection, methylprednisolone acetate, 80 mg300125$0
20610Aspiration and/or injection of fluid from large joint198126$0
99212Established patient office or other outpatient visit, 10-19 minutes11496$0
99213Established patient office or other outpatient visit, 20-29 minutes8978$0
View full utilization report →

Insurance plans in this area (ZIP 61554)

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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: 5092840975View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)FL
-FL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
-FL
-GA
U R O L O G YFL
Physician AssistantFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for TERI JO SANFORD (APRN)?
The registry entry for TERI JO SANFORD (APRN) shows NPI 1790363372.
Does the public listing show TERI JO SANFORD (APRN) as active?
TERI JO SANFORD (APRN)'s NPI record reflects an active status in NPPES.
Which specialty label fits TERI JO SANFORD (APRN)?
NPPES ties TERI JO SANFORD (APRN) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TERI JO SANFORD (APRN)?
TERI JO SANFORD (APRN) shows a connection to Pekin, Illinois in registry-derived data.
Who maintains TERI JO SANFORD (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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