KATIE SANDVICK (CPNP-PC) – Pediatric Nurse Practitioner, NPI 1568926103
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KATIE SANDVICK (CPNP-PC)
10105 BANBURRY CROSS DR STE 170
LAS VEGAS, NV 891446647
Phone: (702) 765-5437
Type: Mailing
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 972393076
Phone: (971) 409-8050
Type: Mailing
3325 RESEARCH WAY
CARSON CITY, NV 897067913
Phone: (702) 220-9902
Type: Mailing
2212 S EASTERN AVE
LAS VEGAS, NV 891044124
Phone: (702) 735-9334
Fax: (702) 735-9335
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($38).
Total Amount
$94
General + Research + Ownership
Payments
5
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $38 |
| Dexcom, Inc. | $21 |
| Cranial Technologies, Inc | $18 |
| GlaxoSmithKline, LLC. | $17 |
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: 2022-11-10
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 |
|---|---|---|---|---|
| I20221110002893 | I | Nurse Practitioner | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89144)
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Reviews
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