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

Mrs. Sarah Lynette Sandoval, NP

Individual provider Registered Nurse · NPI 1093224438

Mrs. Sarah Lynette Sandoval, NP is a Nurse Practitioner in Waterloo, Illinois. Qualified in 2017, 9 years ago. Practices with Vivo Dermatology and Skin Surgery, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Licensed in
IL, MO
In the registry since
2017
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

509 Hamacher St Ste 103
Waterloo, IL 62298-1592
Phone: (618) 939-2273
Fax: (618) 939-0245
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1000 Eleven S Ste 2e, Columbia, IL 62236-1079 — (618) 281-2273
  • 3960 Lindell Blvd, Saint Louis, MO 63108-3204 — (314) 652-0100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209016207 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041427444 (IL)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 2012020830 (MO)

Record details

NPI number1093224438
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 28, 2017
Last updated in NPPESSeptember 3, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vivo Dermatology And Skin Surgery — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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