STEPHANIE M SANDERS – Podiatrist, NPI 1598742389

STEPHANIE M SANDERS is a healthcare provider. based in St louis park, Minnesota. specializing in PODIATRY. They hold a License No. 741 (MN). The NPI Number for STEPHANIE M SANDERS is 1598742389

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE M SANDERS
NPI
1598742389
Phone
(952) 993-7169
Address
6465 WAYZATA BLVD
Enumeration Date
22 December 2005
Last Update Date
14 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2001 (25 years ago)
PAC ID
4385617000
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20040819000451
Address ID
MN554162527ST3850XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

232 PODIATRY in MN

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Provider Addresses for STEPHANIE M SANDERS

  • Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States of America

    STE 315

    ST LOUIS PARK, MN 554261728

    Phone: (952) 993-7169

    Fax: (952) 993-0300

    Type: Mailing

  • 3900, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    PARK NICOLLET CLINIC - SLP

    ST LOUIS PARK, MN 55416

    Phone: (952) 993-2794

    Fax: (952) 993-1955

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 3800 PARK NICOLLET BLVD

    ST LOUIS PARK, MN 554162527

    Phone: (952) 993-2000

    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: 2004-08-19

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
I20040819000451IPodiatryMNTBD

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 minutes16383$0
99203New patient office or other outpatient visit, 30-44 minutes9393$0
99214Established patient office or other outpatient visit, 30-39 minutes5142$0
97597Removal of tissue from wound, 20.0 sq cm or less3813$0
11750Permanent removal fingernail or toenail2518$0
View full utilization report →

Insurance plans in this area (ZIP 55426)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE M SANDERS in the U.S.?
In the U.S., STEPHANIE M SANDERS is identified by NPI 1598742389.
Is STEPHANIE M SANDERS currently accepting referrals based on NPI status?
Registry metadata lists STEPHANIE M SANDERS as active.
What does the directory say STEPHANIE M SANDERS does?
Insurance directories may phrase it differently, but here STEPHANIE M SANDERS maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to STEPHANIE M SANDERS?
The directory associates STEPHANIE M SANDERS with St Louis Park, Minnesota. Check all listed addresses for suites or satellite offices.
Can I export STEPHANIE M SANDERS's record?
You can download the official NPPES record; we summarize key fields for readability.

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