Individual provider Active NPI

Sandra E Wheeler, ANP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1023201480
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303306-1 Issued in NY
Practice address
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone
(716) 995-4450
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303306-1 NY Primary

Addresses

Primary practice location

701 Seneca St Ste 646C
Buffalo, NY 14210-1351

Mailing address

123 Simmons Ave
Cohoes, NY 12047-4118
Phone (518) 237-1712

Other practice location 1

460 Briarwood Dr Ste 400-32
Jackson, MS 39206-3051
Phone (657) 237-2450

Other practice location 2

113 Glenn Pl Unit 100
Lexington, KY 40505-3518
Phone (833) 358-2278

Other practice location 3

2645 Meridian Pkwy Ste 323
Durham, NC 27713-9957
Phone (984) 227-8902

Other practice location 4

5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4854
Phone (833) 358-2036

Other practice location 5

State Route 9 West
Coxsackie, NY 12051
Phone (518) 731-2781 ext. 6462

Other practice location 6

3401 Centre Lake Dr Ste 650
Ontario, CA 91761-1201
Phone (909) 566-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, VA, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201020001276 WA Practitioner - Nurse Practitioner 5991017261
I20220329001758 VA Practitioner - Nurse Practitioner 5991017261
I20230523002141 NH Practitioner - Nurse Practitioner 5991017261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8243CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of New Hampshire PC CurrentSince May 9, 2023 Accepting new patients
Summit Medical Group, PLLC PastSince Nov 16, 2018 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

20 Trafalgar Sq
Ste 407
Nashua, NH 03063
Phone (833) 229-0957

Interoperability endpoints

  • Direct secure messaging: swheeler@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1023201480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SIMMONS AVE",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474118",
            "telephone_number": "518-237-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Briarwood Dr Ste 400-32",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392063051",
            "country_code": "US",
            "telephone_number": "657-237-2450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Glenn Pl Unit 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405053518",
            "country_code": "US",
            "telephone_number": "833-358-2278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 Meridian Pkwy Ste 323",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277139957",
            "country_code": "US",
            "telephone_number": "984-227-8902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Pfeiffer Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452424854",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "State Route 9 West",
            "address_purpose": "LOCATION",
            "city": "Coxsackie",
            "state": "NY",
            "postal_code": "12051",
            "country_code": "US",
            "telephone_number": "518-731-2781 x6462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Centre Lake Dr Ste 650",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917611201",
            "country_code": "US",
            "telephone_number": "909-566-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303306-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.