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Deactivated NPI 1104123074 Deactivated / Inactive NPI Female Practitioner

Jacqueline Sanner , PNP-BC

Nurse Practitioner - Pediatrics • Cedar Park, TX

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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, Jacqueline Sanner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2011
NPI Deactivation Date October 27, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Jacqueline Sanner, PNP-BC was a registered Nurse Practitioner - Pediatrics practicing in Cedar Park, TX. Throughout an active medical career spanning 10 years, Jacqueline Sanner provided care at the practice location at 190 BUTTERCUP CRK until profile deactivation on 2021-10-27.

Practice Location & Contact Primary Location

Practice Address

190 Buttercup Crk

Cedar Park, TX 786133772

Telephone 5123365824
Fax 5123365293
Associated Practice Facility / Clinic
🏢 Steven K Foster, Md,pa Facility NPI 1588853618

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Cedar Park, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Cedar Park, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 441081

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Steven Foster , MD

General Practice

NPI 1245276682

Doctor of Medicine (M.D.)

NPI 1386713139

Doctor of Medicine (M.D.)

Dr. Mary King , RN, PhD, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1548593841

Registered Nurse, Doctor of Philosophy (Ph.D.), CPNPPC

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 October 27, 2021

Record deactivated on October 27, 2021

NPI Profile Active February 11, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2011

Registered at 190 BUTTERCUP CRK, CEDAR PARK, TX 786133772 (Tel: 5123365824)

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Updated Business Mailing Address February 11, 2011

Registered at PO BOX 189, CEDAR PARK, TX 786300189 (Tel: 5123365824)

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Provider Name / Credentials Updated February 11, 2011

Recorded as JACQUELINE SANNER, PNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2011

Nurse Practitioner (License #441081 in TX)

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Initial NPI Registration & Enumeration February 11, 2011

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: 1104123074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2011
Last Update: February 11, 2011
Deactivation Date: October 27, 2021

Mailing Address

Po Box 189

Cedar Park, TX 786300189

Phone: 5123365824

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.