PENNY MARIE SANDERSON (APRN, FNP-C) – Family Nurse Practitioner, NPI 1013249929
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for PENNY MARIE SANDERSON (APRN, FNP-C)
PO BOX 20092
CHEYENNE, WY 820037002
Phone: (307) 630-4729
Fax: (307) 632-3298
Type: Mailing
2500 DELL RANGE BLVD
CHEYENNE, WY 820095273
Phone: (307) 630-4729
Fax: (307) 632-3298
Type: Location
West Spruce Street, Rawlins, Carbon County, Wyoming, 83512, United States
RAWLINS, WY 823010460
Phone: (307) 324-8494
Fax: (307) 324-8496
Type: Mailing
1517, Broadway, Scottsbluff, Scotts Bluff County, Nebraska, 69361, United States
SUITE 124
SCOTTSBLUFF, NE 693613184
Phone: (308) 635-2800
Fax: (308) 635-2801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $497.
Total Amount is formed as General ($497) + Research ($0) + Ownership ($0) = $497.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($156).
Total Amount
$497
General + Research + Ownership
Payments
23
Total payment records
General Amount
$497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-02-22
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 |
|---|---|---|---|---|
| I20180222002540 | I | Nurse Practitioner | WY | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 212 | 212 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 116 | 101 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 37 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 82003)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| - | WY | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | WY | |
| Nurse Practitioner | WY | |
| Nurse Practitioner | WY | |
| - | WY | |
| Clinical Social Worker | WY | |
| Mental Health Counselor | CO | |
| Clinical Social Worker | WY | |
| Clinical Social Worker | WY |
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