LORETTA SANDOVAL (RN, CNM) – Obstetrics & Gynecology Nurse Practitioner, NPI 1568762011

LORETTA SANDOVAL (RN, CNM) is a healthcare provider. based in Medford, Oregon. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials RN, CNM. They hold a License No. 201042847RN (OR). The NPI Number for LORETTA SANDOVAL (RN, CNM) is 1568762011

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LORETTA SANDOVAL (RN, CNM)
NPI
1568762011
Phone
(541) 535-6239
Address
3617 S PACIFIC HWY
Enumeration Date
1 November 2010
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415004747
Graduation Year
2013 (13 years ago)
PAC ID
6901059872
Group Practice PAC ID
5991223273
Professional Enrollment ID
I20130102000237
Address ID
OR975048474ME2850XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

192 CERTIFIED NURSE MIDWIFE (CNM) in OR

Provider Addresses for LORETTA SANDOVAL (RN, CNM)

  • 3617 S PACIFIC HWY

    MEDFORD, OR 975018957

    Phone: (541) 535-6239

    Fax: (541) 512-1026

    Type: Location

  • 1910 E BARNETT RD STE 102

    MEDFORD, OR 975048672

    Phone: (541) 500-4747

    Fax: (866) 267-6644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($97).

Total Amount

$236

General + Research + Ownership

Payments

10

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2013-01-02

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
I20130102000237ICertified Nurse Midwife (Cnm)ORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes131101$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3131$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
36415Insertion of needle into vein for collection of blood sample1311$0
View full utilization report →

Insurance plans in this area (ZIP 97501)

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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: 5991223273View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)OR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What federal number belongs to LORETTA SANDOVAL (RN, CNM)?
The federal identifier for LORETTA SANDOVAL (RN, CNM) is NPI 1568762011.
Is LORETTA SANDOVAL (RN, CNM) active in the national directory?
LORETTA SANDOVAL (RN, CNM)'s public NPI profile is in an active state.
Does LORETTA SANDOVAL (RN, CNM) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Nurse Practitioner for LORETTA SANDOVAL (RN, CNM). Clinical services aligned with this taxonomy classification.
What location metadata exists for LORETTA SANDOVAL (RN, CNM)?
The page summarizes Medford, Oregon for LORETTA SANDOVAL (RN, CNM); expand the address list for detail.
How can I contact LORETTA SANDOVAL (RN, CNM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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