Sandra Croasdell, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

L1921633 Issued in MI

Practice address

301 Explorer St
Gwinn, MI 49841-2813

Phone

(190) 634-6492

Fax

(906) 346-6474

NPI assigned

Feb 26, 2011

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861
  Medicare reassignment NPD
• Sound Inpatient Physicians - Michigan, PLLC

  dba Sound Physicians

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178
  NPD
• Upper Great Lakes Family Health Center

  dba Sawyer Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Gwinn, MI
  • NPI 1700103777
  NPD
• Upper Great Lakes Family Health Center

  dba Menominee Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Menominee, MI
  • NPI 1801214218
  NPD

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1083911036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "190-634-6492",
            "fax_number": "906-346-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "190-634-6492",
            "fax_number": "906-346-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASDELL",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-26",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "L1921633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Joy Buck, DDS
• Catherine a Kroll, DO,PC
• Lisenia Collazo, DMD
• Theodore W Collins, D.O.
• Ashley E Croasdell, FNP
• Ericka Marie Distefano, FNP, ACUPUNCTURIST
• Andrew James Ekdahl, D.D.S.
• Collene Nicole Froberg, D.C.
• Garrett H Green, LPC
• Gwendolyn Buck DDS PLLC (Northern Trails Dental Care)

• Family Nurse Practitioner in Gwinn, MI
• Providers in Gwinn, 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 Dec 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.