SUSAN SANFORD – Family Nurse Practitioner, NPI 1467803825

SUSAN SANFORD is a healthcare provider. based in La grange, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 3010382 (KY). The NPI Number for SUSAN SANFORD is 1467803825

Main info

Female
10 Years Of Experience
Name
SUSAN SANFORD
NPI
1467803825
Phone
(502) 693-5578
Address
3505 POTOMAC CT
Enumeration Date
28 June 2016
Last Update Date
28 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8595671591
Graduation Year
2016 (10 years ago)
PAC ID
4688943392
Group Practice PAC ID
4082798699
Professional Enrollment ID
I20170711002721
Address ID
KY410959561WA441XXWXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for SUSAN SANFORD

  • 3505 POTOMAC CT

    LA GRANGE, KY 400319650

    Phone: (502) 693-5578

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 82 Open Payments records for all available years, with a total value of $1,550.

Total Amount is formed as General ($1,550) + Research ($0) + Ownership ($0) = $1,550.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($650).

Total Amount

$1,550

General + Research + Ownership

Payments

82

Total payment records

General Amount

$1,550

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2017-07-11

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
I20170711002721INurse PractitionerKYTBD

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
36415Insertion of needle into vein for collection of blood sample3928$0
96372Injection of drug or substance under skin or into muscle2413$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1211$0
View full utilization report →

Insurance plans in this area (ZIP 40031)

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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: 4082798699View full group profile
NameSpecialtyState
-KY
Family PracticeKY
Nurse PractitionerKY
Family Practice, Emergency MedicineKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
P S Y C H I A T R YKY
Family PracticeKY

Reviews

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Frequently asked questions

Can I cross-check SUSAN SANFORD using NPI 1467803825?
NPI 1467803825 belongs to SUSAN SANFORD; compare other details if you need extra assurance.
Is SUSAN SANFORD still an active registrant?
SUSAN SANFORD carries an active NPI according to the public dataset.
What kind of doctor is SUSAN SANFORD?
SUSAN SANFORD is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Kentucky is SUSAN SANFORD registered?
Use La Grange, Kentucky as the headline location for SUSAN SANFORD here.
Does SUSAN SANFORD accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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