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Active NPI 1467961706 Individual Practitioner Female Practitioner

Sandra A Fader , APN

Nurse Practitioner • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sandra Fader, APN is a certified Nurse Practitioner practicing in Bloomington, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Sandra Fader delivers high-quality medical care to the local community at 1111 TRINITY LN STE 111.

Sandra Fader maintains professional affiliations with Carle Health Care Incorporated, Methodist Medical Center Of Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, testing for presence of drug, read by direct observation, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Trinity Ln Ste 111

Bloomington, IL 617048112

Telephone 3096636461
Fax 3096635711
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bloomington, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -2.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
45 Specialists

Practicing in Bloomington, IL (4929 Statewide)

Telehealth Adoption Rate
24.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fader (9 Years) 9 Yrs
Bloomington Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
177 146 $320.00 $103.54
99213 Established patient office or other outpatient visit, typically 15 minutes
81 74 $215.00 $73.62

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209016547

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209016547

Definition to come...

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

900 Main St, Peoria, IL 616025003

Phone: 3096724202

Carle Health Care Incorporated

3591 Griffin Ave, Pekin, IL 615546258

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Methodist Medical Center Of Illinois

900 Main St, Peoria, IL 616025003

Phone: 3096724202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. John Kim , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023647229

Doctor of Podiatric Medicine

Edward Ericksen

Physical Therapist

NPI 1043610199
Alissa Recker , PT

Physical Therapist

NPI 1053850495

Physical Therapist

Nicholas Von Holten , PA-C

Physician Assistant

NPI 1063054278

Physician Assistant (Certified)

Dr. Elizabeth Plocher , MD

Orthopaedic Surgery - Hand Surgery

NPI 1063655629

Doctor of Medicine (M.D.)

Abby Curtis , PT, MS, CLT

Physical Therapist

NPI 1124036322

Physical Therapist, Master of Science, Certified Lymphedema Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2025

Nurse Practitioner (License #209016547 in IL)

📍
Updated Business Mailing Address October 27, 2021

Registered at 611 W. PARK ST, FAPC, URBANA, IL 61801

NPI Profile Active September 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 28, 2017

Registered at 1111 TRINITY LN STE 111, BLOOMINGTON, IL 617048112 (Tel: (309) 663-6461)

📍
Updated Business Mailing Address September 28, 2017

Registered at 1111 TRINITY LN STE 111, BLOOMINGTON, IL 617048112 (Tel: 3096636461)

👤
Provider Name / Credentials Updated September 28, 2017

Recorded as SANDRA FADER, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2017

Nurse Practitioner (License #209016547 in IL)

🟢
Initial NPI Registration & Enumeration September 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467961706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2017
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

611 W. Park St, Fapc

Urbana, IL 61801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.