Sandra Bethel Jense, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

6617074-4405 Issued in UT

Practice address

522 E 100 S
Salt Lake City, UT 84102-1905

Phone

(801) 485-5055

NPI assigned

Aug 6, 2013

Sex

Female

Sole proprietor

Yes

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 UT, ID2 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

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 and National Provider Directory roles.

• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1588185581

  ID

  Medicare reassignment NPD
• Ma Bo Inc

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1740461219
  Medicare reassignment NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• Cottonwood Medical Clinic Inc

  • Acute Care Clinical Nurse Specialist
  • West Jordan, UT
  • NPI 1972992477
  Medicare reassignment
• University of Utah Adult Services

  • Neurology Physician
  • Salt Lake City, UT
  • NPI 1295139095
  NPD
• University of Utah Adult Services

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1104258763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021905",
            "telephone_number": "801-485-5055",
            "fax_number": "801-467-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 E 100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021905",
            "telephone_number": "801-485-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSE",
        "first_name": "SANDRA",
        "middle_name": "BETHEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "6617074-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorthy L Jennings
• Michael S Jennings, MD
• Olivia Elizabeth Jennings
• Thomas Lee Jennings
• Jenny Jo Holdings Ince
• Addisyn Jensen
• Alan Charles Jensen, DDS MS
• Alexandria Kay Jensen
• Amanda Jensen
• Aydin Meriba Jensen

• Acute Care Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Acute Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.