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Deactivated NPI 1053351635 Deactivated / Inactive NPI Female Practitioner

Shali Sanders , NP

Nurse Practitioner • Athol, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shali Sanders has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2006
NPI Deactivation Date September 27, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Shali Sanders, NP was a registered Nurse Practitioner practicing in Athol, MA. Throughout an active medical career spanning 17 years, Shali Sanders provided care at the practice location at 14 GROVE ST until profile deactivation on 2023-09-27.

Historical Medicare Part B clinical services included established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

14 Grove St

Athol, MA 013312660

Telephone 9782498100
Fax 9782498178

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Athol, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Athol, MA (3545 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
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
25 12 $124.00 $115.42

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 232604

(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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Bonnie Frank Hume , MSW

Social Worker - Clinical

NPI 1477834174

Master of Social Work

NPI 1689053282

Physical Therapist, Master of Science, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 27, 2023

Record deactivated on September 27, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 14 GROVE ST, ATHOL, MA 013312660 (Tel: 9782498100)

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Updated Business Mailing Address July 08, 2007

Registered at 14 GROVE ST, ATHOL, MA 013312660 (Tel: 9782498100)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SHALI SANDERS, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #232604 in MA)

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Initial NPI Registration & Enumeration June 08, 2006

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: 1053351635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: July 08, 2007
Deactivation Date: September 27, 2023

Mailing Address

14 Grove St

Athol, MA 013312660

Phone: 9782498100

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

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