S4 Sand PLLC
NPI 1679013536 · Surgical Physician Assistant · Roanoke, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
S4 Sand PLLC is a Surgical Physician Assistant organization in Roanoke, TX (NPI 1679013536).
Provider details
- NPI number
- 1679013536
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stefanie Sanderson, Owner/Physician Assistant(817) 733-2002
- License
- PA04819 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-02-26
- Last updated
- 2017-02-26
Frequently asked questions
- What is S4 Sand PLLC's NPI number?
- S4 Sand PLLC's National Provider Identifier (NPI) is 1679013536, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is S4 Sand PLLC?
- S4 Sand PLLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is S4 Sand PLLC located?
- S4 Sand PLLC's practice location on file with NPPES is 3909 Yarberry Ct, Roanoke, TX 76262-3355.
- What is S4 Sand PLLC's phone number?
- The practice phone number listed in the NPPES registry for S4 Sand PLLC is (817) 733-2002.
- Does S4 Sand PLLC accept Medicare?
- S4 Sand PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for S4 Sand PLLC?
- The authorized official listed on S4 Sand PLLC's NPPES record is Stefanie Sanderson, Owner/Physician Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is S4 Sand PLLC's NPI active?
- Yes — S4 Sand PLLC's NPI (1679013536) is active in the NPPES registry as of the last update on 2017-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.