Sandra Leanne Handysides, RN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704336431 Issued in MI

Practice address

2300 N Stallman Rd
Peshawbestown, MI 49682-9158

Phone

(231) 534-7200

NPI assigned

Aug 29, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Extended Care Services PC

  • Physical Medicine & Rehabilitation Physician
  • Englewood, OH
  • NPI 1699522029

  MI

  Medicare reassignment Care Compare group NPD
• Grand Traverse Band of Ottawa and Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Suttons Bay, MI
  • NPI 1134281132
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1003197583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 DEERPATH N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496859094",
            "telephone_number": "909-954-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N STALLMAN RD",
            "city": "PESHAWBESTOWN",
            "state": "MI",
            "postal_code": "496829158",
            "telephone_number": "231-534-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDYSIDES",
        "first_name": "SANDRA",
        "middle_name": "LEANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20915",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704336431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynne Dunkin, MA LLBSW
• Grand Traverse Band of Ottawa and Chippewa Indians
• Grand Traverse Band of Ottawa and Chippewa Indians
• Grand Traverse Band of Ottawa and Chippewa Indians
• Samantha J Haken, MD
• Kristen M Holston, RDH
• Denise Johnson
• William J Lee, DDS
• Emily Marie Schmitt, DNP
• Marion I Wabanimkee-Minzey

• Family Nurse Practitioner in Peshawbestown, MI
• Providers in Peshawbestown, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.