Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Nicole Sanders, PA-C

Individual provider Physician Assistant · NPI 1740068717

Annie Nicole Sanders, PA-C is a Physician Assistant in Kettering, Ohio. Qualified in 2023, 3 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group and accepts Medicare assignment. Licensed in North Carolina, New York and Ohio.

Years since qualifying
3
Licensed in
NC, NY, OH
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3700 Southern Blvd Ste 201
Kettering, OH 45429-1265
Phone: (855) 500-2873
Fax: (937) 281-3805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.010230RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 030688 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13772 (NC)

Record details

NPI number1740068717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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