Individual provider Active NPI

Wendy Sanders, ARNP

  • Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1124216676
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A104585 Issued in IA
Practice address
543 7TH St SE
Cedar Rapids, IA 52401-1929
Phone
(319) 861-7600
NPI assigned
Oct 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A104585 IA Primary
Internal Medicine Physician 207R00000X A104585 IA

Addresses

Primary practice location

543 7TH St SE
Cedar Rapids, IA 52401-1929

Mailing address

PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 861-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20071106000131 IA Practitioner - Nurse Practitioner 2365539574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

402 Siegel St
Tama, IA 52339-2302
Phone (641) 484-3333

5264 Council St NE
Cedar Rapids, IA 52402-2477

701 10TH St SE
Cedar Rapids, IA 52403-1251
Phone (319) 221-8991

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104585IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Care Management, Inc CurrentSince Dec 8, 2020 Accepting new patients
Mercy Physician Associates Inc CurrentSince Nov 2, 2009 Accepting new patients
Mercy Physician Associates, Inc CurrentSince Nov 2, 2009 Accepting new patients

Locations

543 7th St SE
Cedar Rapids, IA 52401
Phone (319) 861-7600

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

5264 Council St NE
Ste 800
Cedar Rapids, IA 52402
Phone (319) 221-8991

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

Organizations & group practices 4

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 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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1124216676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1824",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524061824",
            "telephone_number": "319-861-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 7TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011929",
            "telephone_number": "319-861-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "WENDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A104585",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "A104585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.