Annie Nicole Sanders, PA-C
NPI 1740068717ActiveIndividual· Physician Assistant· Kettering, OH
Physician Assistant (PA-C) with Kettering Independent Medical Group Inc and 1 other group, practicing in Kettering, Ohio. Part D covered 34 prescriptions written in 2024, 79% of them generic.
Overview
| NPI | 1740068717 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 20, 2023 |
| Last updated in NPPES | Jun 23, 2026 |
| Certified by provider | Jun 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 50.010230RX | OH |
| Physician Assistant | 363A00000X | 030688 | NY |
| Physician Assistant | 363A00000X | 0010-13772 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (OH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 34 · 47 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $2,602 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Kettering Independent Medical Group IncXenia, OH · 710 clinicians
- Cape Fear Valley Health Medical Group LLCFayetteville, NC · 376 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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