SANDRA Y SUDERMAN (ARNP) – Family Nurse Practitioner, NPI 1679666077
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,550 NURSE PRACTITIONER in KS
Provider Addresses for SANDRA Y SUDERMAN (ARNP)
15604 Pinehurst Dr Ste 2
Basehor, KS 660078234
Phone: (913) 728-2200
Type: Location
Saint Joseph Medical Center, 1000, Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 64114, United States
PROVIDER ENROLLMENT/MED STAFF OFC
KANSAS CITY, MO 64114
Phone: (816) 943-5744
Type: Mailing
913, Sheidley Avenue, Bonner Springs, Wyandotte County, Kansas, 66012, United States
BONNER SPRINGS, KS 660129514
Phone: (913) 322-7222
Fax: (913) 322-7284
Type: Location
913 SHEIDLEY AVE
BONNER SPRINGS, KS 660129514
Phone: (913) 322-7222
Fax: (913) 322-7284
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $2,375.
Total Amount is formed as General ($2,375) + Research ($0) + Ownership ($0) = $2,375.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($743).
Total Amount
$2,375
General + Research + Ownership
Payments
127
Total payment records
General Amount
$2,375
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 |
|---|---|
| ABBVIE INC. | $743 |
| Lilly USA, LLC | $447 |
| AstraZeneca Pharmaceuticals LP | $200 |
| Abbott Laboratories | $182 |
| PFIZER INC. | $115 |
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: 2007-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071105000130 | I | Nurse Practitioner | KS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 223 | 116 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $0 |
| 81003 | Automated urinalysis test | 22 | 14 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 16 | 16 | $0 |
| G0009 | Administration of pneumococcal vaccine | 16 | 16 | $0 |
Insurance plans in this area (ZIP 66007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | KS | |
| Family Practice | KS | |
| - | KS | |
| - | MO | |
| Physician Assistant | KS | |
| - | KS | |
| - | IL | |
| Nurse Practitioner | MO | |
| Orthopedic Surgery | KS | |
| Pain Management, Anesthesiology | KS |
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