JEREMIAH R SANDERS (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1902392871

JEREMIAH R SANDERS (APRN, PMHNP-BC) is a healthcare provider. based in Longview, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. AP137913 (TX). The NPI Number for JEREMIAH R SANDERS (APRN, PMHNP-BC) is 1902392871

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JEREMIAH R SANDERS (APRN, PMHNP-BC)
NPI
1902392871
Phone
(903) 758-2471
Address
107 WOODBINE PL
Enumeration Date
3 July 2018
Last Update Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032139120
Graduation Year
2018 (8 years ago)
PAC ID
7810246055
Group Practice PAC ID
4284159161
Professional Enrollment ID
I20180821001473
Address ID
TX756024721LO319XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JEREMIAH R SANDERS (APRN, PMHNP-BC)

  • 107, Woodbine Place, Youngwood Park, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756012912

    Phone: (903) 758-2471

    Type: Mailing

  • 1300 N 6TH ST

    LONGVIEW, TX 756015567

    Phone: (903) 759-2922

    Type: Location

  • 1115 US HIGHWAY 259 S

    HENDERSON, TX 756543629

    Phone: (903) 392-8203

    Type: Mailing

  • 319 INDUSTRIAL DR

    LONGVIEW, TX 756024721

    Phone: (903) 213-9120

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $2,002.

Total Amount is formed as General ($2,002) + Research ($0) + Ownership ($0) = $2,002.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($622).

Total Amount

$2,002

General + Research + Ownership

Payments

55

Total payment records

General Amount

$2,002

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: 2018-08-21

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
I20180821001473INurse PractitionerTXTBD

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 75601)

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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: 4284159161View full group profile
NameSpecialtyState
Emergency MedicineIL
Nurse PractitionerFL
Emergency Medicine, Family PracticeTX
Emergency MedicineTX
Nurse PractitionerFL
Anesthesiology, General PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to JEREMIAH R SANDERS (APRN, PMHNP-BC)?
The federal identifier for JEREMIAH R SANDERS (APRN, PMHNP-BC) is NPI 1902392871.
Does this profile mean JEREMIAH R SANDERS (APRN, PMHNP-BC) is currently active?
Yes — JEREMIAH R SANDERS (APRN, PMHNP-BC) appears active in the national provider directory.
What kind of provider is JEREMIAH R SANDERS (APRN, PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for JEREMIAH R SANDERS (APRN, PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location metadata exists for JEREMIAH R SANDERS (APRN, PMHNP-BC)?
The page summarizes Longview, Texas for JEREMIAH R SANDERS (APRN, PMHNP-BC); expand the address list for detail.
Is JEREMIAH R SANDERS (APRN, PMHNP-BC) a real provider?
This page reflects official NPPES data for NPI 1902392871. Always confirm identity and privileges with the practice and licensing boards.

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