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

MS. Sandra K Headrick, APRN

Individual provider Family Nurse Practitioner · NPI 1891786414

MS. Sandra K Headrick, APRN is a Nurse Practitioner in Rolla, Missouri. Qualified in 1997, 29 years ago. Practices with Pcrmc Medical Group Inc, a 114-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
29
Licensed in
MO
In the registry since
2005
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

600 Blues Lake Pkwy
Rolla, MO 65401-8022
Phone: (573) 364-5719
Fax: (573) 364-6493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 128892 (MO)

Record details

NPI number1891786414
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022
Mailing address1415 W Scenic Rivers Blvd, Salem, MO 65560-2840

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Pcrmc Medical Group Inc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rolla