JASON CHAD SANDERS (ARNP) – Family Nurse Practitioner, NPI 1104857432
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
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Provider Addresses for JASON CHAD SANDERS (ARNP)
PO BOX 148
HARTFORD, KY 423470148
Phone: (270) 504-1300
Fax: (270) 504-1380
Type: Mailing
McMurtry Avenue, Hartford, Ohio County, Kentucky, United States
HARTFORD, KY 42347
Phone: (270) 504-1300
Fax: (270) 504-1380
Type: Location
1200 BRECKENRIDGE ST
OWENSBORO, KY 423031089
Phone: (270) 684-0028
Fax: (270) 685-8233
Type: Mailing
1200 BRECKENRIDGE STREET
OWENSBORO, KY 423031090
Phone: (270) 683-7553
Fax: (270) 926-4801
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: PFIZER INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $14 |
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: 2004-05-21
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 |
|---|---|---|---|---|
| I20040521001118 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,446 | 216 | $0 |
| J1650 | Injection, enoxaparin sodium, 10 mg | 877 | 30 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 581 | 271 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 562 | 91 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 326 | 235 | $0 |
Insurance plans in this area (ZIP 42347)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Internal Medicine, Family Practice | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Internal Medicine | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
Reviews
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