SANDRA WILMOT (FNP-C) – Family Nurse Practitioner, NPI 1043635519

SANDRA WILMOT (FNP-C) is a healthcare provider. based in Eugene, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. F0214128 (OR). The NPI Number for SANDRA WILMOT (FNP-C) is 1043635519

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA WILMOT (FNP-C)
NPI
1043635519
Phone
(541) 222-7650
Address
2484 RIVER RD
Enumeration Date
20 February 2014
Last Update Date
29 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8557229700
Graduation Year
2013 (13 years ago)
PAC ID
3678797271
Group Practice PAC ID
5193156115
Professional Enrollment ID
I20190611003604
Address ID
WA982212776AN1119XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for SANDRA WILMOT (FNP-C)

  • 2484 RIVER RD

    EUGENE, OR 974042042

    Phone: (541) 222-7650

    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)

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: 2019-06-11

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
I20190611003604INurse PractitionerWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97404)

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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: 5193156115View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerMO
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerIN
Internal MedicineWA
Internal MedicineIA
Nurse PractitionerCA
Nurse PractitionerIL
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for SANDRA WILMOT (FNP-C)?
SANDRA WILMOT (FNP-C) — NPI 1043635519 — is the standard way to identify this listing.
Does CMS list SANDRA WILMOT (FNP-C) as active?
Yes — SANDRA WILMOT (FNP-C) is active in the NPI listing used on this page.
What is SANDRA WILMOT (FNP-C) best known for clinically?
Directory data describes SANDRA WILMOT (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does SANDRA WILMOT (FNP-C) serve?
SANDRA WILMOT (FNP-C)'s listing highlights Eugene, Oregon; more addresses can appear in NPPES.
Is the information about SANDRA WILMOT (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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