Quick answers
- Does Tessa M. Sandel accept Medicare assignment?
- Yes. Medicare's clinician data says Tessa M. Sandel accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Tessa M. Sandel see?
- In 2024, CMS data shows 220 Original Medicare patients and 549 services for Tessa M. Sandel. This counts Original Medicare only and measures volume, not quality.
- What is Tessa M. Sandel's NPI number?
- 1881053270. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Tessa M. Sandel, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 220 |
|---|---|
| Services billed to Medicare | 549 |
| Different services or procedures | 18 |
| Participating Medicare provider | Yes |
| Average age of these patients | 78 |
Most frequent services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)224 services
- Hospital discharge day management, more than 30 minutes (99239)120 services
- Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes (99222)68 services
- Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes (99231)65 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)20 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- Arthritis54%
- Chronic kidney disease39%
- Depression37%
- Anxiety37%
Hospitals where Tessa M. Sandel works
Medicare's Facility Affiliation Data lists Tessa M. Sandel at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Clarke County HospitalOsceola, IA · Critical Access Hospital · Medicare rating: 5 of 5 stars · Emergency services: listed by Medicare · CCN 161348
- Greater Regional Medical CenterCreston, IA · Critical Access Hospital · Medicare rating: 3 of 5 stars · Emergency services: listed by Medicare · CCN 161365
Practice locations
Addresses where Tessa M. Sandel is enrolled with Medicare (CMS data updated October 2, 2026).
- 1700 W Townline StCreston, IA 50801 (641) 782‑7091
- 800 S Fillmore StOsceola, IA 50213
- 800 S Fillmore St, Clarke County HospitalOsceola, IA 50213 (641) 342‑2184
Group practices
Medicare enrollment lists Tessa M. Sandel as a member of these groups (CMS data updated October 2, 2026).
- Greater Regional Medical Center54 clinicians in the group
- Clarke County Public Hospital43 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Creston
Clinicians with the same Medicare primary specialty in Creston, IA — not a recommendation.
Other clinicians in Greater Regional Medical Center
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Graduation year | 2015 |
|---|---|
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1881053270 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians