Individual provider Active NPI

Sarah Elizabeth De Leeuw, NP-C

  • Family Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1023666765
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704233077 Issued in MI
Practice address
2390 Woodlake Dr Ste 380
Okemos, MI 48864-6018
Phone
(517) 333-7113
Fax
(517) 333-7125
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704233077 MI Primary

Addresses

Primary practice location

2390 Woodlake Dr Ste 380
Okemos, MI 48864-6018

Mailing address

2390 Woodlake Dr Ste 380
Okemos, MI 48864-6018
Phone (517) 333-7113

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220818001071 MI Practitioner - Nurse Practitioner 7719360049 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihp Hospital Medicine - Jackson PLLCGroup PAC ID 3173961372, 50 clinicians

Practice addresses (Care Compare)

205 N E Ave
Jackson, MI 49201-1753
Phone (248) 536-2127

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iep Observation Medicine - Jackson PLLC CurrentSince Mar 3, 2024 Accepting new patients
Independent Hospitalist Physicians, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Ihp Hospital Medicine - Jackson PLLC CurrentSince Mar 19, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Family CurrentSince Aug 1, 2022 Accepting new patients
Wa Foote Memorial Hospital, Inc Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 10, 2023 Accepting new patients
Psych One PLLC CurrentSince Sep 1, 2019 Accepting new patients
Independent Observation Physicians PLLC CurrentSince Nov 13, 2023 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 1, 2022 Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

1 Ford Pl
Detroit, MI 48202
Phone (313) 874-4118

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

2390 Woodlake Dr
Ste 380
Okemos, MI 48864
Phone (517) 333-7113

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: dsarah818572@direct.hfhs.org

Organizations & group practices 10

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1023666765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 WOODLAKE DR STE 380",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646018",
            "telephone_number": "517-333-7113",
            "fax_number": "517-333-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 WOODLAKE DR STE 380",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646018",
            "telephone_number": "517-333-7113",
            "fax_number": "517-333-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEEUW",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704233077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.