Individual provider Active NPI

Sandra Bielanski, CNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1104155571
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11026320 Issued in FL
Practice address
8227 Kensington SQ
Jacksonville, FL 32217-4401
Phone
(440) 376-6570
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10889 OH
Adult Health Nurse Practitioner 363LA2200X APRN11026320 FL Primary

Addresses

Primary practice location

8227 Kensington SQ
Jacksonville, FL 32217-4401

Mailing address

8227 Kensington SQ
Jacksonville, FL 32217-4401
Phone (440) 376-6570

Other identifiers 1

IdentifierTypeStateIssuer
3091907MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101011000181 OH Practitioner - Nurse Practitioner 6901098854 Reassigns benefits to 2 organizations
I20231003001864 FL Practitioner - Nurse Practitioner 6901098854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, 908 clinicians

Practice addresses (Care Compare)

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10889OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Kidney Institute LLC CurrentSince Jan 1, 2014 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Sep 25, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Sep 25, 2023 Accepting new patients
Villagehealth DM LLC CurrentSince Dec 12, 2021 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Comprehensive Kidney Care, Inc. Past Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

20455 Lorain Rd
Ste T1
Fairview Park, OH 44126
Phone (440) 292-0226

9050 N Church Dr
Parma Heights, OH 44130
Phone (440) 292-0226

19133 Hilliard Blvd
Rocky River, OH 44116
Phone (216) 228-5500

805 Columbia Rd
Ste 101
Westlake, OH 44145
Phone (216) 228-5500

Interoperability endpoints

  • Direct secure messaging: sbielanski640764@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBBACA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1104155571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 KENSINGTON SQ",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174401",
            "telephone_number": "440-376-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 KENSINGTON SQ",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174401",
            "telephone_number": "440-376-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIELANSKI",
        "first_name": "SANDRA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "10889",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11026320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091907",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.