Mary Madrigal Sandoval, RN, PHN, FNP
NPI 1760829543ActiveIndividual· Nurse Practitioner, Family· San Jacinto, CA
Nurse Practitioner, Family (RN, PHN, FNP) with Riverside-San Bernardino County Indian Health Inc, practicing in San Jacinto, California. Their prescriptions cost Medicare Part D more than their services did: $16,681 for 266 claims, against $809.63 paid for services in 2024.
Overview
| NPI | 1760829543 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, PHN, FNP |
| Sole proprietor | No |
| NPI issued | Jun 3, 2013 |
| Last updated in NPPES | Aug 29, 2020 |
| Certified by provider | Aug 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95013490 | CA |
| Registered Nurse, Community Health | 163WC1500X | 531242 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 51 across 16 procedure codes |
| Paid by Medicare | $809.63 |
Part D prescriptions in 2024
| Prescriptions (claims) | 266 · 278 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $16,681 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Riverside-San Bernardino County Indian Health IncGrand Terrace, CA · 46 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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All 22 family nurse practitioners in San Jacinto · All family nurse practitioners in California