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Cedric Joshua Sanders

Nurse Practitioner β€’ Bloomington, IL

Active NPI 1396619789 Individual Practitioner Male Practitioner
Practice location in NPPES

2200 E Washington St
Bloomington, IL 617014364

Call 3096623311 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2200 E Washington St

Bloomington, IL 617014364

Telephone 3096623311
Organization at the Same NPPES Address or Phone
Bestpractices Of Illinois Pc Facility NPI 1760439517

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Vanderbilt University School Of Medicine

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Cedric Sanders has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Cedric Sanders as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Illinois

45 active clinicians are listed under Nurse Practitioner with a practice address in Bloomington, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

24.4% of these 45 clinicians have the CMS telehealth indicator.

66.7% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-27
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209033451

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES IL 041469160

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260605002931

Enrollment State Jurisdiction

IL

PECOS Control ID

5193296564

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
Dr. Terry Brady , MD

Radiology - Vascular & Interventional Radiology

NPI 1124030705

Doctor of Medicine (M.D.)

Jeanette Bredeman , APRN

Nurse Practitioner - Acute Care

NPI 1942072830

Advanced Practice Registered Nurse

Dr. Kenneth Carpenter , MD

Emergency Medicine

NPI 1689723918

Doctor of Medicine (M.D.)

Justin Couch , NP-C

Nurse Practitioner - Family

NPI 1922451681

Nurse Practitioner (Certified)

Dr. Ibinabo Dede , MD

Internal Medicine

NPI 1730765272

Doctor of Medicine (M.D.)

Dr. Thomas Fiero , MD

Emergency Medicine

NPI 1376570341

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Nurse Practitioner (license number reported to NPPES: IL 209033451)

βœ…
NPI Profile Active September 30, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 30, 2025

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364 (Tel: 3096623311)

πŸ“
Business Mailing Address (Initial Record) September 30, 2025

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364 (Tel: 3096623311)

πŸ‘€
Provider Name / Credentials (Initial Record) September 30, 2025

Recorded as CEDRIC SANDERS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2025

Emergency Medicine (license number reported to NPPES: IL 041469160)

🟒
Initial NPI Registration & Enumeration September 30, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396619789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2025
Last Update: April 27, 2026
Sole Proprietor: Yes

Other Nurse Practitioners in Bloomington

All Nurse Practitioners in Bloomington

Mailing Address

2200 E Washington St

Bloomington, IL 617014364

Phone: 3096623311

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.