MS. SANDRA K HEADRICK (A.P.R.N.) – Family Nurse Practitioner, NPI 1891786414
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MS. SANDRA K HEADRICK (A.P.R.N.)
600, Blues Lake Parkway, Rolla, Phelps County, Missouri, 65401, United States
ROLLA, MO 654018022
Phone: (573) 364-5719
Fax: (573) 364-6493
Type: Mailing
1415 W SCENIC RIVERS BLVD
SALEM, MO 655602840
Phone: (573) 729-5533
Fax: (573) 202-2466
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $934.
Total Amount is formed as General ($934) + Research ($0) + Ownership ($0) = $934.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($337).
Total Amount
$934
General + Research + Ownership
Payments
43
Total payment records
General Amount
$934
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $337 |
| AstraZeneca Pharmaceuticals LP | $257 |
| Novo Nordisk Inc | $113 |
| Lilly USA, LLC | $89 |
| Amgen Inc. | $51 |
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: 2008-01-03
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 |
|---|---|---|---|---|
| I20080103000308 | I | Nurse Practitioner | MO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | MO | |
| - | MO | |
| Internal Medicine | IL | |
| Hospitalist, Internal Medicine | AR | |
| Critical Care (Intensivists) | MO |
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