SANITA PIYA – Family Nurse Practitioner, NPI 1891239067
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
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Provider Addresses for SANITA PIYA
114 BLACKGUM CT
STAFFORD, VA 225542544
Phone: (518) 542-5311
Type: Mailing
2601, Fall Hill Avenue, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 224013323
Phone: (540) 371-9696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $2,014.
Total Amount is formed as General ($2,014) + Research ($0) + Ownership ($0) = $2,014.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($472).
Total Amount
$2,014
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,014
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $472 |
| Takeda Pharmaceuticals U.S.A., Inc. | $239 |
| QOL Medical, LLC | $214 |
| GENZYME CORPORATION | $104 |
| IRONWOOD PHARMACEUTICALS, INC | $86 |
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: 2017-02-08
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 |
|---|---|---|---|---|
| I20170208002326 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 400 | 338 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 194 | 194 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 14 | 12 | $0 |
Insurance plans in this area (ZIP 22554)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | VA | |
| - | VA | |
| - | VA | |
| P A T H O L O G Y | CT | |
| Physician Assistant | PA | |
| Gastroenterology, Internal Medicine | VA |
Reviews
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